DRG Validator

Now Hiring: Remote DRG Validator100% RemoteMultiple Openings AvailableCheck you match the skill requirements for this role, as well as associated experience, then apply with your CV below.Are you an experienced inpatient coding professional with a passion for accuracy, compliance, and revenue integrity? We're conducting a confidential search for Remote DRG Validators to join a highly respected healthcare consulting organization that partners with hospitals nationwide to improve coding accuracy, clinical documentation, and reimbursement outcomes.What You'll Do: Perform MS-DRG and APR-DRG validation reviews for inpatient medical records Audit ICD-10-CM/PCS coding, DRG assignment, and provider documentation Prepare clear audit rationales, physician queries, and appeal letters for coding denials Educate coding teams on coding guidelines and best practices Ensure compliance with CMS regulations, Official Coding Guidelines, Coding Clinic guidance, and UHDDS standards Maintain exceptional quality standards with a target accuracy rate of 95–100%What We're Looking For:AHIMA certification required (CCS, RHIT, or RHIA)5+ years of inpatient ICD-10-CM/PCS coding experienceExtensive knowledge of MS-DRG and APR-DRG methodologiesExperience with DRG validation, clinical validation, coding audits, CDI, quality assurance, or revenue integrityStrong written communication xhyhwjd skills with the ability to write audit findings and appeal lettersExperience with 3M, TruCode, Epic, Microsoft Office, and other HIM technologies preferredSelf-motivated professional who thrives in a remote environmentIf you're looking for your next opportunity in Revenue Integrity, DRG Validation, or Inpatient Coding, we'd love to connect with you! Send your resume for confidential consideration.