Working remotely in a full-time capacity, the DRG Auditor will review and validate medical records, ensuring compliance with coding standards and regulations while managing denials and underpayment audits. Key responsibilities Review medical records for accuracy and compliance with coding guidelines Validate DRG assignments and manage denial resolutions Conduct audits to identify underpayments and recommend corrective actions Required qualifications Certified Coding Specialist (CCS) or equivalent certification Experience in DRG auditing and healthcare reimbursement processes Strong knowledge of ICD-10-CM and CPT coding systems Proficiency in medical record documentation and compliance standards Ability to work independently in a remote environment