DRG Validation Specialist

Ropers Majeski PC; United States; Remote; USD 60,000 - 85,000; Full time

Job summary

MaineHealth is looking for a DRG Validation Specialist to perform quality reviews and validate coding for inpatient records. This fully remote role requires relevant degrees, coding certifications, and at least three years of experience. Join a team that values professional growth and inclusivity in healthcare.

Benefits

Sign-on bonuses

Career ladder for professional growth

Comprehensive benefits including paid time off

Tuition reimbursement

Retirement plan with employer match

Paid family leave

Wellness resources

Qualifications

• At least three years of experience as an inpatient coder.
• Registered Health Information Technician (RHIT) or equivalent certification is required.
• In-depth knowledge of coding for acute care facilities.

Responsibilities

• Perform DRG validation quality reviews for inpatient coded records.
• Validate codes for appropriate DRG assignment.
• Ensure compliance with coding standards and regulations.

Skills

Advanced coding skills

Knowledge of revenue cycle

Billing systems

EPIC Electronic Health Record

3M Encoder

ICD-10 training

Computer Assisted Coding software (CAC)

Education

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

Related science-based degree such as Nursing

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 a related science-based degree such as Nursing.
2. License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).
3. Experience: At least three years of experience as an inpatient coder at a large acute care or academic teaching facility.
4. Preferred Skills/Requirements: Advanced coding skills, knowledge of revenue cycle, billing systems, EPIC Electronic Health Record, 3M Encoder, ICD-10 training, and Computer Assisted Coding software (CAC).

Benefits:

• Sign-on bonuses available for most full and part-time roles.
• Career ladder for professional growth and development.
• Comprehensive benefits including generous paid time off, tuition reimbursement, retirement plan with employer match, paid family leave, wellness resources, and more.

MaineHealth values our team members and their growth. We foster an inclusive environment where you can thrive and realize your full potential. If you’re passionate about healthcare and professional development, consider joining our dedicated team.

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

About MaineHealth:

With a career at any MaineHealth location, you’ll work alongside healthcare professionals who value collaboration and community impact. We offer flexible programs such as paid parental leave, student loan assistance, training, and wellness 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.