Clinical DRG Auditor
Anywhere
Category: Healthcare
Reference ID: 10063634
Shortcut: http://addisongroup.gosnaphop.com/BQrlhP
Job title: Clinical Review Auditor (DRG Auditor)
Location (city, state): Fully Remote (United States) Preference for candidates in Central or Eastern Time zones
Industry: Healthcare Revenue Cycle / Clinical Auditing
Pay: $85,000 – $100,000 annually (salaried), based on experience
Schedule: Full-time, 40 hours per week | No overtime
About Our Client:
Addison Group is hiring on behalf of one of our healthcare clients that specializes in clinical quality, compliance, and revenue integrity. The organization promotes a collaborative, transparent culture and offers long-term growth opportunities for experienced auditors.
Job Description:
The Clinical Review Auditor (DRG Auditor) is responsible for performing comprehensive inpatient DRG audits to ensure accurate coding, clinical validation, and compliant reimbursement. This role requires detailed medical record review, application of ICD-10-CM and ICD-10-PCS guidelines, and clear documentation of audit outcomes. The position is fully remote.
Key Responsibilities:
- Conduct retrospective inpatient DRG audits for coding and clinical validation
- Review medical records to confirm accurate DRG and MS-DRG assignment
- Evaluate clinical documentation to support medical necessity and reimbursement
- Identify coding discrepancies, documentation gaps, and audit trends
- Apply Medicare, Medicaid, and payer-specific regulations during reviews
- Document audit findings clearly, including validated and non-validated results
- Support appeals, rebuttals, and quality initiatives as needed
- Communicate findings effectively with leadership and internal teams
- Maintain compliance with HIPAA and organizational policies
- Work independently while contributing to team coverage and deadlines
Qualifications:
- AHIMA or AAPC credential required (RHIT, CCS, CPC, CCS-P, CIC, or CDIP)
- Strong MS-DRG auditing experience required
- Inpatient facility coding experience with ICD-10-CM and ICD-10-PCS
- Prior clinical audit and retrospective/post-bill review experience
- CDI auditors considered if they possess strong inpatient coding expertise
- RN or LVN background preferred but not required
- APR-DRG experience a plus
- Excellent analytical, critical thinking, and attention-to-detail skills
- Strong verbal and written communication abilities
Additional Details:
- Fully remote role with equipment provided (desktop workstation)
- Training schedule aligns with Eastern Time business hours
- Post-training schedule is Monday–Friday, day shift within Eastern Time coverage
- Fixed schedule required; split shifts and compressed schedules not available
Perks/Benefits:
- Medical, dental, and vision insurance
- 401(k) retirement plan
- Benefits eligibility after 60 days of employment
- Paid time off and separate sick time accrual
- Observed paid holidays, including major federal holidays
- Two floating holidays annually
- PTO carryover available (up to annual cap)
- Monthly internet stipend
- Employer-paid AHIMA certification renewal and CEUs
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
IND 004-008
-
Insurance Verification Specialist
Phoenix, AZ
Job Title: Insurance Verification Specialist Location (city, state): Phoenix, AZ (Biltmore area) Industry: Healthcare / Insurance Pay: $20-21/hour About Our Client: Addison Group is actively hiring an Insurance Verification Specialist for one of our he...
Recommended
-
Project Accountant
Sterling, VA
Position Title: Project Accountant Location: Sterling, VA (On-site) Also open to candidates in Winchester, VA or Warrenton, VA Assignment type: Permanent hire Compensation: $75,000 - $80,000 Work Schedule: M-F 9-5 Benefits: This position is eligible fo...
Recommended
-
HR Administrative Assistant - Immigration Support Specialist
Wilmington, DE
Position Title: Immigration Administrative Support Specialist Location: Wilmington, DE Assignment Type: Contract (~6 months, potential extension) Compensation: $20–22/hour Work Schedule: Full-time, 40 hours per week On-Site or Hybrid: Fully on-site (5 ...
Recommended
-
Payroll Manager
Arlington, VA
Position Title: Payroll Manager Location: Arlington, VA (Hybrid) Assignment Type: Permanent Hire Compensation: $130,000 – $140,000 / year Work Schedule: Monday – Friday, 9:00 AM – 5:00 PM Benefits: This position is eligible for Medical, Dental, Vision,...
Recommended
-
Credentialing Specialist
Addison, TX
Position: Credentialing Specialist Location: Addison, TX (Onsite) Pay Range: $23.00 – $26.50 per hour Schedule: Monday – Friday, Full-Time Benefits: This position is eligible for medical, dental, vision, and 401(k). Employment Type: Contract (Minimum 9...
Recommended
-
Chief Estimator - New Jersey
Hammonton, NJ
Chief Estimator - New Jersey Job Type: Full-Time Salary: $185K Benefits: Full Medical, Dental, 401K and Equity No sponsorship offered Role Overview We are seeking an experienced Estimating Manager/Chief Estimator to lead a high-performing team responsi...
Recommended
-
Electrical Supervisor - KERMIT
Kermit, TX
Role: Electrical Supervisor Location: West Texas (Kermit, TX) Schedule: On-site | Monday–Friday | 8 AM–5 PM Compensation: $120,000 – $140,000 / Year + housing and relocation assistance Job Type: Full-Time | Exempt Benefits:: This position includes Dent...
Recommended
-
Remote Graphic Designer
Austin, TX
Position: Part-time Graphic Designer (fully remote) Duration: 2-month contract (March 2026-May 2026) Compensation: $20- $24/ HR Work schedule: 10-20 hours per week Benefits: This position may be eligible for medical, dental, vision, and 401(k) benefits...
Recommended
-
Junior Recruiting Specialist
Carpentersville, IL
Job Title: Junior Recruiting Specialist Location (city, state): Carpentersville, IL Industry: Manufacturing Pay: $21–$25/hour (based on experience) Benefits: This position is eligible for medical, dental, vision, and 401(k). About Our Client: Addison G...
Recommended
-
Executive Assistant
Washington, DC
Job Title: Executive Assistant Industry: Professional Services / Administrative Operations Location: Washington, DC (Onsite) Assignment Type: Contract (3–6 months) Pay: $36-40/hour (commensurate with experience) Work Schedule: Monday–Friday | Standard ...
Recommended
-
Revenue Cycle Analyst
San Antonio, TX
Revenue Cycle Analyst Pay: $24–$28 per hour Job Type: Contract-to-Hire Location: Remote (Must reside in San Antonio, TX area) Benefits: This position is eligible for medical, dental, vision, and 401(k). About the Role Addison Group is seeking an experi...
Recommended
-
Recruiter
Houston, TX
Position Title: Recruiter Location: Houston, TX Assignment Type: 30 day contract Compensation: $30 - $35 / Hour Work Schedule: Monday–Friday, 8:30 a.m. – 4:30 p.m. Benefits: This position is eligible for medical, dental, vision, and 401(k). About the R...
Recommended
-
Audit & Collections Analyst – Entry Level
Washington, DC
Audit & Collections Analyst – Entry Level Type: Contract to Hire Pay: $20 – $25 / hour (conversion up to $60k) Location: Rockville, MD (On-site 5 days/week; 2 WFH days after conversion) Hours: 8:00 AM – 5:00 PM Benefits: This position is eligible for m...
Recommended
-
HR Generalist
Philadelphia, PA
Position Title: HR Generalist Location: Philadelphia, PA Assignment Type: Contract-to-Hire Compensation: $35–$40/hr Work Schedule: Monday–Friday, 8:00 AM–5:00 PM On-Site or Hybrid: Fully On-Site Benefits: This position is eligible for medical, dental, ...
Recommended
-
HR Generalist
Wayne, PA
Position Title: HR Generalist Location: Wayne, PA Assignment Type: Contract-to-Hire Compensation: $35–$40/hr Work Schedule: Monday–Friday, 8:00 AM–5:00 PM On-Site or Hybrid: Fully On-Site Benefits: This position is eligible for medical, dental, vision,...
Recommended
-
Accounts Payable Accountant Sage Intacct (Contract)
Washington, DC
Position Title: Accounts Payable Accountant Sage Intacct (Contract) Hiring Type: Temporary/ Indefinite Contract Location: Washington D.C Office Schedule: in office 3 x week Pay: $25.00 - $30.00 / Hourly Benefits & Bonuses: You are eligible for medical,...
Recommended
-
Litigation Paralegal – Personal Injury
Chicago, IL
Job Title: Litigation Paralegal – Personal Injury Location: Chicago, IL - 4 to 5 days onsite Industry: Legal Services Pay: $60000 – $80000 / Year Benefits: This position is eligible for medical, dental, vision, and 401(k). About Our Client: Addison Gro...
Recommended
-
AP Accountant
Fairfax, VA
Position Title: AP Accountant Location: Fairfax, VA / Hybrid Assignment type: Temp-to-permanent Compensation: $25 - $26/hour Work Schedule: M-F 9-5 Benefits: This position is eligible for Medical, Dental, Vision, and 401(k) Job Description: Our client ...
Recommended
-
Corporate Paralegal
Peoria, AZ
Job Title: Corporate Paralegal – Estates & Trusts Location: Phoenix, AZ Compensation: $55,000 – $60,000 base salary (minimal flexibility) + quarterly performance bonuses (total comp $71,000 – $88,000) Industry: Financial Services / Legal Benefits: This...
Recommended
-
Corporate Paralegal – Estates & Trusts
Tempe, AZ
Job Title: Corporate Paralegal – Estates & Trusts Location (city, state): Phoenix, AZ Compensation: $55,000 – $60,000 base salary (minimal flexibility) + quarterly performance bonuses (total comp $71,000 – $88,000) Industry: Financial Services / Legal ...
Recommended
-
Accounting Supervisor
Irvine, CA
Position Title: Accounting Supervisor Location: Irvine, CA (On-site) Assignment Type: Temp-to-Hire Compensation: $48/hr – $60/hr Work Schedule: Monday – Friday, 9:00 AM – 5:00 PM Benefits: This position is eligible for Medical, Dental, Vision, and 401(...
Recommended
-
Accounts Payable Specialist (Contract)
Washington, DC
Role: Accounts Payable Specialist (Contract) Hiring Type: Temporary/ Indefinite Contract Location: Washington D.C Pay: $25-$29 Hourly Office Schedule: in office 3 x week Our client, an extremely prestigious Non-Profit is looking for an Accounts Payable...
Recommended
-
Payroll Prevailing Wage Specialist
Chantilly, VA
Position Title: Payroll Prevailing Wage Specialist Location: Chantilly, VA (On-site) Assignment Type: Permanent Hire Compensation: $28/hour – $36/hour Work Schedule: Monday – Friday, 9:00 AM – 5:00 PM Benefits: This position is eligible for Medical, De...
Recommended
-
Interim Accounting Director
Charlotte-Gastonia-Rock Hill Metro Area, North Carolina
Job Title: Interim Accounting Director (Contract) Location (city, state): Fort Mill, SC (Hybrid – in office Tuesday–Thursday) Pay: $60 – $70 / hour (flexible based on experience) Benefits: This role is eligible for medical, dental, vision and 401k. Job...
Recommended
-
Engineering Coordinator
Irwin, PA
Job Title: Engineering Coordinator Industry: Industrial Manufacturing / Engineered Equipment Location (city, state): Irwin, PA Compensation: $28 – $33 per hour (based on experience) Benefits: This position is eligible for medical, dental, vision, and 4...
Recommended
-
Real Estate Legal Administrative Assistant
Phoenix, AZ
Job Title: Real Estate Legal Administrative Assistant - Hybrid Location (city, state): Phoenix, AZ Compensation: $38.46 - $43.26/hour (Contract-to-Hire); Upon conversion: $80,000 - $90,000/year Benefits: This position is eligible for medical, dental, v...
Recommended
-
Paralegal
Dallas, TX
Job Title: Paralegal Location: Dallas, TX Work Schedule: Monday–Friday, 8:00 a.m. – 5:00 p.m. Type of Employment: Direct Hire Compensation: $75,000 – $85,000 annually (based on experience) Industry: Legal Services Benefits: This role qualifies for a fu...
Recommended
-
Operations Project & Audit Manager
Dallas, TX
Job Title: Operations Project & Audit Manager Location: Dallas, TX Work Schedule: Monday – Friday Type of Employment: Direct Hire Compensation: $90,000 - $100,000 Industry: Insurance / Financial Services Benefits: This position is eligible for a compet...
Recommended
-
Director of Accounting
Columbia, MD
Position Title: Corporate Accounting Director Location: Columbia, MD (Hybrid – 3 days in office) Assignment Type: Permanent Hire Compensation: $160,000 - $170,000 annually + 20% bonus Work Schedule: Monday – Friday, 9:00 AM – 5:00 PM Benefits: This pos...
Recommended
-
Administrative Assistant
Oklahoma City, OK
Job Title: Administrative Assistant Location: Oklahoma City, OK Industry: Insurance / Financial Services Pay: $19.00 – $20.00 / hour (depending on experience) Benefits: This position is eligible for medical, dental, vision, and 401(k). About Our Client...
Recommended