DRG Validation Specialist

Todd & Weld, LLP; United States; Remote; USD 60,000 - 85,000; Full time

Job summary

A leading healthcare organization is seeking a DRG Validation Specialist to join their remote team. This role is crucial in ensuring the quality of inpatient coding and includes responsibilities such as performing DRG validation quality reviews and validating code assignments. The ideal candidate will have experience in health information management, relevant certifications, and a commitment to professional growth.

Benefits

Sign-on bonuses available for most openings

Career ladder for professional growth

Generous paid time off

Tuition reimbursement

Retirement plan with employer match

Paid family leave

Wellness resources

Qualifications

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

Billing systems

ICD-10 training

Computer Assisted Coding software (CAC)

Education

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

Other science-based degree such as Nursing

Tools

EPIC Electronic Health Record

3M Encoder

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.

MaineHealth offers a supportive environment where team members care for each other and our communities. We focus on continuing education and career growth. If you share our calling, consider joining our dedicated and collaborative team in health care.

To apply, please visit: DRG Validation Specialist in Scarborough, ME, United States

About MaineHealth

Working across Maine and New Hampshire, MaineHealth offers a supportive environment with benefits like paid parental leave, flexible work policies, student loan assistance, and more. We are committed to diversity and equal opportunity employment.