DRG Validator (United States)

Now Hiring: Remote DRG Validator

100% Remote

Multiple Openings Available

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 experience
• Extensive knowledge of MS-DRG and APR-DRG methodologies
• Experience with DRG validation, clinical validation, coding audits, CDI, quality assurance, or revenue integrity
• Strong written communication skills with the ability to write audit findings and appeal letters
• Experience with 3M, TruCode, Epic, Microsoft Office, and other HIM technologies preferred
• Self-motivated professional who thrives in a remote environment

If 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.