DRG Validation Specialist

Fenningham, Dempster & Coval LLP; United States; Remote; USD 70,000 - 90,000; Full time

Job summary

MaineHealth seeks a DRG Validation Specialist to join their remote care team, responsible for conducting quality reviews on inpatient coded records. Candidates must possess a health information management degree and relevant certifications. With excellent benefits and support for professional growth, this role is essential in delivering high-quality health care.

Benefits

Sign on bonuses available

Career ladder for professional growth and development

Generous paid time off

Tuition reimbursement

Retirement plan with employer match

Paid family leave

Access to wellness resources

Qualifications

• Three years of experience as an inpatient coder required.
• Registered Health Information Technician (RHIT) or equivalent certification required.

Responsibilities

• Perform DRG Validation quality reviews for inpatient coded records.
• Validate codes for appropriate DRG assignments.

Skills

Advanced coding skills

Knowledge of revenue cycle

Knowledge of billing systems

ICD-10 training

Computer Assisted Coding software (CAC)

Education

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

Tools

EPIC Electronic Health Record

3M Encoder

Job description

DRG Validation Specialist
MaineHealth
Remote

MaineHealth is seeking a DRG Validation Specialistto join our care team! The DRG Validation Specialist role 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 life-changing work. And with a focus on continuing education and training, MaineHealth is helping people grow their careers to become the best version of themselves. Do you share our calling? Learn more about joining the most dedicated and collaborative team in health care.

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

About MaineHealth
With a career at any of the MaineHealth locations across Maine and New Hampshire, you’ll be working with health care professionals that truly value the people around them – both within the walls of the organization and the communities that surround it.

We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow – programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.

MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you’re looking to build a career in a place where people help one another deliver best-in-class care, apply today.

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