Nurse Coder DRG Auditor III

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Nurse Coder DRG Auditor III based in United States. This role serves as a subject matter expert in clinical coding, claims auditing, and payment integrity. You will independently audit inpatient and outpatient claims using coding and clinical guidelines alongside supporting medical documentation. The position combines clinical expertise with advanced coding validation, quality assurance, and appeal response responsibilities. You will evaluate diagnoses, procedures, sequencing, discharge statuses, and levels of care to identify accurate and compliant claim outcomes. The role also provides opportunities to influence coding standards, develop new concepts, and contribute to strategic recommendations. Strong collaboration with internal teams and, when needed, clients will be essential to communicating audit findings effectively. This is an analytical, high-impact position for an experienced RN and coding professional who can operate independently and guide others.