DRG Validation Specialist

Yoder Ainlay Ulmer & Buckingham, LLP; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

MaineHealth is hiring a DRG Validation Specialist for remote work. This role involves performing quality reviews of inpatient coded records to ensure accurate DRG assignments. Candidates must have the relevant health information degrees, certifications, and experience. Join a collaborative team committed to community care and professional growth.

Benefits

Sign-on bonuses available

Career ladder for professional growth

Generous paid time off

Tuition reimbursement

Retirement plan with employer match

Paid family leave

Wellness resources

Qualifications

• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) required.
• Three years of experience as an inpatient coder at a large acute care or academic teaching facility required.

Responsibilities

• Perform DRG validation quality reviews for inpatient coded records.
• Validate codes for appropriate DRG assignment.

Skills

Advanced coding skills

Knowledge of revenue cycle

ICD 10 training

Experience with EPIC Electronic Health Record

Computer Assisted Coding software

Education

Associate’s and/or Bachelor’s Degree in Health Information Management

Job description

DRG Validation Specialist
MaineHealth
Remote

MaineHealth is seeking a DRG Validation Specialist to join our care team! The DRG Validation Specialist is responsible for performing DRG validation quality reviews for inpatient coded records to validate codes for appropriate DRG assignment. This is a fully remote position.

Required Minimum Knowledge, Skills, and Abilities (KSAs)

1. Education: Associate’s and/or Bachelor’s Degree in Health Information Management or other science-based degree such as Nursing required.
2. License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) required.
3. Experience: Three years of experience as an inpatient coder at a large acute care or academic teaching facility required.
4. Additional Skills/Requirements Preferred: Advanced coding skills and knowledge of revenue cycle, billing systems, EPIC Electronic Health Record and 3M Encoder, ICD 10 training, Computer Assisted Coding software (CAC).

Benefits

• Sign-on bonuses available for most full and part-time openings.
• Career ladder for professional growth and development.
• Excellent benefits including generous paid time off, tuition reimbursement, retirement plan with employer match, paid family leave, wellness resources, and more.

Join MaineHealth and be part of a team that values care, education, and growth. To apply, please visit: DRG Validation Specialist in Scarborough, ME, United States.

About MaineHealth

With a career across Maine and New Hampshire, you’ll work with healthcare professionals who value community and collaboration. We offer flexible benefits, support for work-life balance, and opportunities for professional development. MaineHealth is committed to diversity and is an Equal Opportunity/Affirmative Action employer.