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Remote DRG Clinical Audit Lead
Remote / Online - Candidates ideally in
Mason, Warren County, Ohio, 45040, USA
Listed on 2026-08-28
Mason, Warren County, Ohio, 45040, USA
Listing for:
Elevance Health
Remote/Work from Home
position Listed on 2026-08-28
Job specializations:
-
Finance & Banking
Auditor Accountant
Job Description & How to Apply Below
Elevance Health seeks a DRG Clinical Auditor Principal to audit inpatient medical records and DRG-based claims using MS-DRG, APR-DRG and related methodologies across all lines of business. The role emphasizes autonomous work with high-quality audit output and potential to influence process improvements.
The candidate will validate coding accuracy, prepare detailed audit letters, and collaborate with management on criteria for identifying recoveries and opportunities, including complex DRG cases
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