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REMOTE - DRG Auditor

Remote / Online - Candidates ideally in
Toms River, Ocean County, New Jersey, 08757, USA
Listing for: 360X Staffing
Remote/Work from Home position
Listed on 2026-10-18
Job specializations:
  • Healthcare
    Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 85000 - 115000 USD Yearly USD 85000.00 115000.00 YEAR
Job Description & How to Apply Below
DRG Auditor

We’re seeking an experienced DRG Revenue Integrity Auditor to review inpatient hospital records and confirm coding accurately reflects the care provided. This role is a fit for a coding professional who can work independently, explain audit findings clearly, and help improve documentation and coding accuracy.

What you’ll do
  • Audit inpatient records for accurate ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, code sequencing, and DRG assignment.
  • Review present-on-admission indicators, severity of illness, risk of mortality, and the revenue impact of coding decisions.
  • Identify documentation gaps and prepare compliant physician queries when clarification is needed.
  • Apply official coding guidelines, CMS requirements, and relevant payer policies.
  • Share audit findings and practical feedback with internal teams and clients while meeting quality and productivity standards.
  • Work across hospital EHR and coding systems while protecting patient information.
What we’re looking for
  • At least three years of inpatient coding experience and strong ICD-10-CM/PCS and DRG knowledge.
  • CCS or RHIT certification. DRG auditing experience is preferred.
  • Experience with clinical documentation review and physician queries.
  • Familiarity with hospital EHR systems such as Epic, Cerner, or Meditech.
  • Strong analytical skills, attention to detail, and clear written communication.
  • Additional CDI credentials, such as CDIP or CCDS, are a plus.
Company Description

360X Staffing is a national staffing and workforce management company headquartered in Phoenix, Arizona, that specializes in providing vetted skilled tradespeople, craftsmen, and professionals for commercial, industrial, and infrastructure projects.

Company Description

360X Staffing is a national staffing and workforce management company headquartered in Phoenix, Arizona, that specializes in providing vetted skilled tradespeople, craftsmen, and professionals for commercial, industrial, and infrastructure projects.

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