DRG Validation Specialist

State Farm Mutual Automobile Insurance Company; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

MaineHealth is seeking a DRG Validation Specialist for a fully remote position. This role requires an education in Health Information Management or Nursing, along with certifications in health information. The candidate will perform validation quality reviews to ensure codes are assigned correctly. MaineHealth offers exceptional benefits and a culture of support and continuous education.

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

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

Responsibilities

• Performing DRG validation quality reviews for inpatient coded records.
• Validating codes for appropriate DRG assignment.

Skills

Advanced coding skills

Knowledge of revenue cycle

EPIC Electronic Health Record

Education

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

Nursing degree

Tools

3M Encoder

Computer-Assisted Coding software (CAC)

ICD-10 training

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: Minimum of 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 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, 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 focus on continuing education and training to help people grow their careers. Do you share our calling? Learn more about joining our dedicated and collaborative health care 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 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 investing in our care team and fostering an inclusive environment where you can thrive. If you're looking to build a career in a supportive community focused on delivering top-quality care, apply today.

MaineHealth 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.