Elevance HealthPosted 1 week ago

DRG Coding Auditor Principal

Elevance HealthPosted 1 week ago

$122,240–$183,360 year

HybridVirginia, United States or Mason, Ohio, United States

Virginia, United States or Mason, Ohio, United StatesHybridFull Time$122,240–$183,360 yearSenior LevelEnterprise

Full TimeSenior LevelEnterprise

Job Summary

Audit inpatient medical records for claims paid under DRG methodology, generating complex findings and recoverable claims across MS-DRG, AP-DRG, APR-DRG, and TRICARE systems. Integrate advanced coding principles and clinical guidelines to substantiate sophisticated conclusions, validate quality standards for lower-level auditors, and identify new claim types such as re-admissions and hospital-acquired conditions. Operate independently to perform secondary audits on claims reviewed by other coders, identify gaps in foundational knowledge, and suggest process improvement recommendations. This Principal role supports Elevance Health's recovery efforts for all lines of business, requiring extensive ICD-10 expertise and certification.

Required Qualifications

AA/AS or minimum of 15 years of experience in claims auditing, quality assurance, or recovery auditing
RHIA certification as a Registered Health Information Administrator
RHIT certification as a Registered Health Information Technician
CCS as a Certified Coding Specialist
CIC as a Certified Inpatient Coder
Certified Clinical Documentation Specialist (CCDS)
minimum of 10 years experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions
required in-person training sessions

Hiring someone like this?

Get your role in front of qualified candidates on Sorce.

Get started