Remote RN DRG​/Coding Specialist

Overview

Our client is seeking an experienced Registered Nurse Clinical Coder to support DRG audit activities for one of their major healthcare partners. This role focuses on reviewing inpatient medical records, validating DRG assignments, and ensuring coding accuracy from an insurance and payerside perspective rather than the provider side. This is an excellent opportunity for an RN with coding experience who enjoys analytical work, documentation review, and collaborating with audit teams.

• Perform DRG audits on inpatient medical records to validate ICD
  10 coding accuracy and DRG assignment.
• Review clinical documentation to ensure compliance with payer guidelines and audit standards.
• Identify discrepancies, trends, and opportunities for coding improvement.
• Communicate audit findings clearly and professionally through written reports and outbound calls as needed.
• Collaborate with internal teams to support audit processes and client requirements.
• Maintain uptodate knowledge of ICD
  10, DRG methodology, and payer policies.

• Registered Nurse (RN) with at least 5 years of clinical or coding-related experience.
• CPC (Certified Professional Coder) required.
• Exposure to DRG coding or DRG audit processes.
• Strong understanding of ICD
  10 coding guidelines.
• Ability to speak confidently about coding from the insurance/payer perspective.
• Proficiency with Microsoft Office tools.

• Nursing background in DRG or inpatient care.
• CCS (Certified Coding Specialist) certification is a plus.
• Prior experience in payer-side audits or clinical documentation review.

• Medical Coding
• ICD
  10
• DRG Audit
• CPC Certification
• Clinical Documentation Review
• Microsoft Office
• Outbound Communication

This is a Contract to Hire position based out of Raleigh, NC.

The pay range for this position is $33.00 - $43.00/hr.

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully remote position.

This position is anticipated to close on Feb 13, 2026.

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The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.