Average salary: $121,786 /yearly

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  • Mount Sinai Morningside is seeking a DRG Validation Specialist to perform SMART focused reviews of inpatient records, ensuring accurate ICD-10-CM/PCS coding and correct DRG assignments pre-billing. You will identify missed diagnoses and propose physician queries to improve... 
    Suggested

    Mount Sinai Morningside

    New York, NY
    4 days ago
  •  ...Clinical Validation Nurse At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. We are...  ...a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. We are seeking... 
    Suggested
    Full time
    Remote work
    Monday to Friday

    MedReview Inc.

    New York, NY
    5 days ago
  • $86.56k - $129.84k

     ...Patient Safety DRG Clinical Validation Auditor Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration... 
    Suggested
    Full time
    Work at office
    Local area

    Elevance Health

    Cleveland, OH
    3 days ago
  • $100k - $110k

     ...risks, and documentation improvements that support accurate MS-DRG assignment and appropriate reimbursement. Using advanced knowledge...  ...AHA Coding Clinic guidance, Medicare regulations, and clinical validation, this position develops clear, evidence-based recommendations... 
    Suggested
    Local area
    Remote work
    Monday to Friday

    Enjoin

    Brooklyn, NY
    1 day ago
  • White Plains Hospital Medical Center is seeking a Coding Manager/DRG Validator to oversee inpatient coding operations and DRG reimbursement, ensuring data quality and compliance across the HIM department. The role entails staff training, compliance reviews, and collaboration... 
    Suggested

    2600 White Plains Hospital Medical Center

    Los Angeles, CA
    2 days ago
  •  ...Healthcare is seeking a registered nurse with inpatient claim review experience to ensure diagnoses, procedures, revenue codes, and DRG assignments accurately reflect the documented care and billed charges. You will apply ICD-10, DRG and revenue code guidelines, review... 
    Suggested
    Remote job

    Molina Healthcare

    New York, NY
    2 days ago
  • DescriptionResponsible for improving the quality, completeness, and clinical accuracy of inpatient documentation and DRG assignment through targeted concurrent DRG validation. The Clinical Documentation Integrity Specialist II - DRG Validator reviews selected inpatient accounts... 
    Suggested
    Full time
    Live in
    Local area
    Remote work

    Baptist Health South Florida

    Coral Gables, FL
    2 days ago
  •  ...Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database... 
    Suggested
    Full time
    Remote work

    EnableComp

    Remote
    29 days ago
  •  ...Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database... 
    Suggested
    Full time
    Remote work

    EnableComp

    Remote
    a month ago
  •  ...Payment Integrity Drg Coding & Clinical Validation Analyst The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding... 
    Suggested
    Work experience placement

    Univera Healthcare

    Latham, NY
    1 day ago
  • $86.56k - $155.81k

    Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Anticipated Job Posting End Date: 8/28/2026 Virtual: This role enables associates to work virtually full-time, with the exception of required inperson training sessions, providing... 
    Suggested
    Full time
    Temporary work
    Work experience placement
    Local area
    1 day per week

    Elevance Health

    Denver, CO
    3 days ago
  •  ...DRG Coder The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy... 
    Suggested

    Astrana Health

    Orange, CA
    5 days ago
  • $79k - $99.75k

     ...post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines...  ...exclusions. What You Will Do: Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on... 
    Suggested
    Full time
    Work at office
    Local area
    Visa sponsorship
    Flexible hours

    Zelis

    Saint Louis, MO
    3 days ago
  •  ...DRG Auditor The DRG Auditor is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database, DRG Reviewers... 
    Suggested
    Remote job
    Flexible hours

    EnableComp

    Franklin, TN
    1 day ago
  •  ...potential candidates.   About the role We are looking for a software engineer excited about delivering cutting-edge automotive validation products with a tight customer feedback loop. This role will work across all parts of validation (systems traceability, data... 
    Suggested
    Full time
    For contractors
    For subcontractor
    Casual work
    Work at office
    Remote work
    Day shift

    Applied Intuition

    Remote
    1 day ago
  • Job-ID32939620Reference26-01619 Summary: The Validation Lead is responsible for leading end-to-end validation activities within a regulated pharmaceutical, biotechnology, medical device, or life sciences environment. The role develops validation strategies, coordinates... 

    Katalyst Healthcares & Life Sciences

    Rochester, NY
    1 day ago
  •  ...equivalent combination of education and experience.Knowledge of cGMP or equivalent regulations.Minimum of two years’ experience in Validation or equipment qualification is desired.Ability to make sound decisions about scheduling and managing priorities.Flexibility in... 
    Work at office

    Planet Pharma

    Vacaville, CA
    6 hours agonew
  • Job-ID32848489Reference26-01442 Requirements: Support cleaning validation activities, protocol execution, sampling, and documentation. Perform temperature mapping and requalification of controlled temperature units. Execute IQ/OQ/PQ, requalification, and periodic review... 

    Katalyst Healthcares & Life Sciences

    Tucson, AZ
    9 hours ago
  • Job-ID32864156Reference26-01463 Job Summary: We are seeking an experienced Validation Engineer to support system-level Verification & Validation (V&V) activities for medical device products. The role involves planning and executing V&V activities, developing and executing... 

    Katalyst Healthcares & Life Sciences

    Boston, MA
    1 day ago
  • Job-ID32293173Reference26-00628 Summary : We are seeking an experienced Validation Engineer to support pharmaceutical manufacturing and quality operations in Washington. The ideal candidate will have hands-on experience in equipment, process, cleaning, and computerized... 

    Katalyst Healthcares & Life Sciences

    Bothell, WA
    2 days ago
  • Job-ID32696496Reference26-01251 Summary : We are looking for a Validation Engineer II with experience in the pharmaceutical or biopharmaceutical industry to join our growing team. Roles & Responsibilities: Develop and execute IQ, OQ, PQ validation protocols and reports... 

    Katalyst Healthcares & Life Sciences

    Houston, TX
    9 hours ago
  •  ...Responsibilities: Support of creating and maintaining GxP (GMP, GCP, GLP) quality and Perform GxP and 21 CFR part 11 assessments and develop a validation plan. Develop functional risk strategy and perform functional risk assessment. Review user business process documents and user... 

    Katalyst Healthcares & Life Sciences

    Santa Monica, CA
    9 hours ago
  • Job-ID32535018Reference26-01135Remote50% Remote Job Description: Client is looking for onsite Validation Engineers / CQV Engineers to support upcoming qualification work tied to sterile manufacturing and fill/finish operations. The consultants will support hands-on OQ/... 
    Remote work

    Katalyst Healthcares & Life Sciences

    Tucson, AZ
    9 hours ago
  •  ...committed to creating an environment that enables you to realize your own success and fulfillment.When you join Design Group as a Validation Engineer, you are joining a team that will challenge you and position you for growth. In this role, you will work with a team of... 
    Full time
    Work at office
    Flexible hours

    Barry-Wehmiller

    Raleigh, NC
    2 days ago
  • Job-ID32345699Reference26-00775 Responsibilities: Client is seeking validation consultants to support a 9-month minimum onsite project in South Carolina. The consultants will support validation execution and gap assessments tied to equipment qualification, tank qualification... 

    Katalyst Healthcares & Life Sciences

    San Francisco, CA
    4 days ago
  • $191k - $253k

     ...platforms into Anduril’s Lattice ecosystem.  ABOUT THE JOB We are seeking a Robotics Software Engineer to own Verification & Validation (V&V) across the Omen platform. In this role, you will design and own the automated testing infrastructure for our mission... 
    Full time
    Work experience placement
    Immediate start

    Anduril Industries

    Remote
    1 day ago
  • $150k - $200k

     ...supplies across the globe. As we scale our operations and extend into more complex, safety-critical environments, the ability to validate and prove our autonomy performance at scale becomes absolutely essential. We’re looking for a deeply technical software engineer... 
    Full time
    Local area

    Zipline

    Remote
    1 day ago
  • $152k - $220k

     ...In this role, you will: Generate test sets of driving logs to evaluate the performance of the autonomous driving system Validate and optimize the test sets to ensure they meet requirements and reflect the statistical distribution of our targeted robotaxi service... 
    Full time
    Temporary work
    Relocation package

    Zoox

    Remote
    1 day ago
  • $85k - $90k

     ...01(k) plan with employer match, paid parental leave, and more. The Nurse Coder DRG Auditor’s primary responsibility is to review medical records and associated claim information to validate accuracy of DRG assignments and/or medical necessity for inpatient level of care... 
    Work at office

    Trend Health Partners

    New York, NY
    4 days ago
  • $65k - $75k

     ...HIM Validator (Coder) In the HIM Validator (Coder) role, you will utilize your knowledge and expertise of the review program and coding guidelines to ensure that the assignment of coding/DRG is appropriate and consistent with ICD-10-CM Official Guidelines for Coding... 
    Hourly pay
    Work at office

    IPRO

    Jericho, NY
    2 days ago