Senior DRG Clinical Auditor — Remote

Elevance Health is seeking a DRG Clinical Auditor Principal to audit inpatient medical records and DRG coding across lines of business. This hybrid role emphasizes highly complex audits and collaboration with management to improve selection criteria. The position requires extensive ICD-9/10CM and MS-DRG/AP-DRG/AP-DRG experience, with a focus on complex cases and potential disputes or appeals. Hybrid/virtual work is supported with occasional in-person training.