DRG Validation Specialist

Onward Injury Law; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

MaineHealth is seeking a DRG Validation Specialist to perform quality reviews of inpatient coded records. This fully remote role requires expertise in health information management and coding, along with a commitment to excellence and ongoing education. Join a collaborative team dedicated to community health and professional growth.

Benefits

Sign-on bonuses available

Career ladder for growth

Generous paid time off

Tuition reimbursement

Retirement plan with employer match

Qualifications

• Registered Health Information Technician (RHIT), 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.

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, knowledge of revenue cycle, billing systems, EPIC Electronic Health Record, 3M Encoder, ICD-10 training, and Computer Assisted Coding software (CAC).

MaineHealth offers a variety of excellent benefits for full and part-time positions, including:

• 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 team members care for each other as much as they care for our communities. We support ongoing education and training to help our staff grow and excel. Interested in joining our dedicated team? Learn more about the opportunity.

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

About MaineHealth: Working across Maine and New Hampshire, our professionals value collaboration and community. We offer benefits that support today’s needs and future planning, including paid parental leave, flexible work policies, student loan assistance, training, and well-being resources.

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