DRG Validation Specialist

U.S. Bankruptcy Court - District of CT; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare organization is seeking a DRG Validation Specialist to work remotely, focusing on performing quality reviews for inpatient coding. This position requires a degree in Health Information Management and relevant certifications. The role offers numerous professional growth opportunities and excellent benefits, including paid time off and tuition reimbursement.

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

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

Computer Assisted Coding software (CAC)

Education

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

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 focused on continuing education and training. Join a team that cares for each other and the community. Interested candidates can apply at: DRG Validation Specialist in Scarborough, ME, United States.

About MaineHealth

With a career at any MaineHealth location across Maine and New Hampshire, you'll work with healthcare professionals who value both their colleagues and the community. We support our team with benefits like paid parental leave, flexible work policies, student loan assistance, and more. MaineHealth is committed to diversity and is an Equal Opportunity/Affirmative Action employer.