DRG Validation Specialist

Twyford Law Office; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare company is seeking a DRG Validation Specialist to join their team remotely. This role focuses on validating DRG assignments through detailed quality reviews of inpatient coded records. Candidates should possess relevant degrees and certifications, and have at least three years of coding experience in a healthcare setting. The company offers excellent benefits and opportunities for 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

Access to wellness resources

Qualifications

• 3 years of experience as an inpatient coder required.
• Registered Health Information Technician (RHIT) or equivalent certification required.
• Experience at a large acute care or academic teaching facility required.

Responsibilities

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

MaineHealth team members care for each other as much as they care for our communities. We support continuing education and training to help people grow their careers. Interested in joining our dedicated team? Learn more and 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 communities they 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.

MaineHealth is committed to an inclusive environment where you can thrive and reach your full potential. If you're looking to build a career in a supportive community-focused organization, apply today.

Equal Opportunity Employer

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