DRG Clinical Auditor Principal

Elevance Health is seeking a DRG Clinical Auditor Principal to lead complex DRG and clinical audits that support accurate, compliant reimbursement across our national health plans. In this senior role, you will perform in-depth inpatient medical record reviews, validate DRG assignments, and assess documentation quality using ICD-10-CM/PCS and industry guidelines. You will identify and document variances, prepare clear audit findings, and partner with coders, clinicians, and medical directors to…