DRG Validation Specialist

Southern Arizona Legal Aid Inc.; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a DRG Validation Specialist to conduct quality reviews for inpatient coded records ensuring appropriate DRG assignments. This fully remote role requires a strong background in health information management, coding certifications, and experience in a hospital setting. Join a collaborative team committed to professional growth and excellent patient care, with extensive benefits and a focus on diversity and inclusion.

Benefits

Sign-on bonuses available for full and part-time openings

Career ladder for professional growth

Generous paid time off for work/life balance

Tuition reimbursement

Retirement plan with employer match

Paid family leave

Access to wellness resources

Qualifications

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

Responsibilities

• Performing DRG validation quality reviews for inpatient coded records.
• Validating codes for appropriate DRG assignment.

Skills

Advanced coding skills

Knowledge of revenue cycle

ICD-10 training

Education

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

Tools

EPIC Electronic Health Record

3M Encoder

Computer Assisted Coding software

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).

MaineHealth offers a variety of excellent benefits for full and part-time positions, including but not limited to:

• 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 for work/life balance, tuition reimbursement, retirement plan with employer match, paid family leave, access to wellness resources, and much more.

MaineHealth team members care for each other as much as they care for our communities. Every day, we help and support one another in our work. With a focus on continuing education and training, MaineHealth helps people grow their careers to become the best version of themselves. Do you share our calling? Learn more about 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, our healthcare professionals value the people around them—both within the organization and in the communities we serve.

We offer benefits that support today’s needs and future planning, including paid parental leave, flexible work policies, student loan assistance, training, education, and well-being resources for you and your family.

MaineHealth is committed to investing in our care team and fostering an inclusive environment where you can thrive and reach your full potential. If you’re looking to build a career in a place where people help one another deliver top-tier care, apply today.

MaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination based on race, color, national origin, religion, age, sex, sexual orientation, disability, or veteran status.