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Remote DRG Clinical Validation Auditor

Remote / Online - Candidates ideally in
Dayton, Montgomery County, Ohio, 45431, USA
Listing for: Elevance Health, Inc.
Remote/Work from Home position
Listed on 2026-11-01
Job specializations:
  • Healthcare
    Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 90000 - 130000 USD Yearly USD 90000.00 130000.00 YEAR
Job Description & How to Apply Below

Elevance Health is seeking a Diagnosis Related Group Clinical Validation Auditor to audit inpatient medical records, ensuring clinical documentation supports the conditions and DRGs billed and reimbursed. This role specializes in reviewing DRG paid claims and operates largely in a virtual capacity, with in-person training sessions required.

You will apply advanced ICD-10 coding, clinical guideline mastery, and auditing tools to generate determinations and comprehensive finding letters.

We would love to welcome a new Remote DRG Clinical Validation Auditor to our organisation in Cincinnati, OH, United States.

Learn more about the Remote DRG Clinical Validation Auditor role in the description above.

We appreciate your interest in this position.

Join Elevance Health, Inc. and contribute to our ongoing work.

Take a moment to read everything above and see whether this role is right for you.

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