Remote DRG Clinical Validation Auditor (RN)

Elevance Health seeks a Diagnosis Related Group Clinical Validation Auditor-RN to audit inpatient medical records for documentation accuracy supporting billed conditions. Candidates need a current RN license and at least ten years of claims auditing or clinical documentation improvement experience, including expertise in ICD-9/10CM and related DRGs. This fully remote role allows flexibility while ensuring quality standards in clinical audits and documentation. Salary range is $86,560 to $155,808, based on experience and location.
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