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Assistant Drg Validator Jobs (NOW HIRING)

CERiS

Clinical Review QC Auditor

Fort Worth, TX · On-site +1

$68K - $104K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... for performing DRG validation (clinical/coding) reviews of medical records and/or other ... Working knowledge of HIPAA Privacy and Security Rules * Assist Quality Control team and medical ...

CERiS

Clinical Review QC Auditor

$68K - $104K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... for performing DRG validation (clinical/coding) reviews of medical records and/or other ... Working knowledge of HIPAA Privacy and Security Rules * Assist Quality Control team and medical ...

Corvel

Clinical Review QC Auditor

Fort Worth, TX · Remote

$68K - $104K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... for performing DRG validation (clinical/coding) reviews of medical records and/or other ... Working knowledge of HIPAA Privacy and Security Rules * Assist Quality Control team and medical ...

Corvel

Clinical Review QC Auditor

$68K - $104K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... for performing DRG validation (clinical/coding) reviews of medical records and/or other ... Working knowledge of HIPAA Privacy and Security Rules * Assist Quality Control team and medical ...

CERiS

Clinical Review Auditor I

Fort Worth, TX · On-site

$70K - $107K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... for performing DRG validation (clinical/coding) reviews of medical records and/or other ... Working knowledge of HIPAA Privacy and Security Rules * Assist Quality Control team and medical ...

Corvel

Clinical Review Auditor I

Fort Worth, TX · On-site

$70K - $107K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... for performing DRG validation (clinical/coding) reviews of medical records and/or other ... Working knowledge of HIPAA Privacy and Security Rules * Assist Quality Control team and medical ...

MedReview

Customer Service Representative

Manhattan, NY · On-site

$24.10/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... provide DRG Validation, Cost Outlier, and Readmission Review services to healthcare clients ... and protected information. * Assist users with navigating company websites, portals, and ...

Med Review Inc

Customer Service Representative

Manhattan, NY · On-site

$24.10/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... provide DRG Validation, Cost Outlier, and Readmission Review services to healthcare clients ... and protected information. * Assist users with navigating company websites, portals, and ...

MedReview

Customer Service Representative

Manhattan, NY · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... provide DRG Validation, Cost Outlier, and Readmission Review services to healthcare clients ... and protected information. * Assist users with navigating company websites, portals, and ...

MedReview

Medical Records Specialist

Manhattan, NY · On-site

$47K/yr

... DRG Validation, Cost Outlier and Readmission reviews. Under the direction of the Document ... To assist reviewer in locating unidentified documents * To raise inquiries or issues through the ...

CERiS

Payment Integrity Supervisor

Fort Worth, TX · On-site

$77K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Ability to assist team with problem-solving, payer policy and clinical questions regarding audits ... Strong understanding of claims processing, ICD-10 Coding, DRG Validation (if applicable) * Strong ...

MedReview

Medical Records Specialist

Manhattan, NY · On-site

... DRG Validation, Cost Outlier and Readmission reviews. Under the direction of the Document ... To assist reviewer in locating unidentified documents * To raise inquiries or issues through the ...

Corvel

Payment Integrity Supervisor

Fort Worth, TX · On-site

$77K - $120K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Ability to assist team with problem-solving, payer policy and clinical questions regarding audits ... Strong understanding of claims processing, ICD-10 Coding, DRG Validation (if applicable) * Strong ...

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Assistant Drg Validator information

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$39.8K

$52K

How much do assistant drg validator jobs pay per year?

As of Aug 19, 2026, the average yearly pay for assistant drg validator in the United States is $39,780.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,500.00 and $44,500.00 per year, depending on experience, location, and employer.
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Assistant Drg Validator jobs near you
Infographic showing various Assistant Drg Validator job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 75% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $39,780 per year, or $19.1 per hour.

Clinical Review QC Auditor

CERiS

Fort Worth, TX • On-site, Remote

$68K - $104K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

CERIS in Fort Worth, TX is seeking a DRG Quality Control/Clinical Auditor. The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will determine correct DRG/coding as defined by review methodologies specific to the type of review. This involves completing medical record reviews, accurately documenting findings and non-findings and providing clinical/policy/regulatory support for the determination. This role will utilize their experience with ICD-10-CM & PCS coding guidelines, the ability to understand modern pharmacology, disease management and clinical intervention procedures. The ideal DRG Clinical Auditor candidate has strong written and verbal communication skills, clinical knowledge of disease processes, and knowledge of medical necessity rules.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
  • Review medical records to determine accuracy of billing through verification of coding and review of supporting clinical documentation
  • Check for physician's notes supporting the DRGs assigned
  • Conduct audits to ensure accurate reimbursement and identifying potential savings
  • Review previously conducted audits to ensure accurate coding and identifying potential savings
  • Review all opportunities sent to the customers for complete and correct information
  • Demonstrated knowledge of ICD-10-CM codes, PCS and DRG coding, understanding of payer rules and regulations, including Medicare and Medicaid
  • Understand and comply with all internal and external policies
  • Working knowledge of HIPAA Privacy and Security Rules
  • Assist Quality Control team and medical director with appeals, rebuttals, etc.
  • Notify leadership of any issues or concerns in a timely manner
  • Additional duties as assigned

KNOWLEDGE & SKILLS:
  • Expert knowledge of application of current Official Coding Guidelines and Coding Clinic citations
  • Solid knowledge and understanding of clinical criteria documentation requirements used to successfully substantiate code assignments
  • Proficient understanding of Medicare, CMS guidelines and ICD-10 coding guidelines
  • Effective and professional communication skills, both verbal and written
  • Ability to work independently and in a team environment
  • High attention to detail
  • Must possess critical thinking skills
  • Ability to multi-task and assist with team coverage and provide support when needed
  • Ability to build relationships both internally and externally
  • Ability to work in a fast-paced environment
  • Demonstrated proficiency in basic computer skills and typing
  • Proficiency with Microsoft Office
  • Proficient in both MS and APR DRG methodology preferred

EDUCATION & EXPERIENCE:
  • LVN or RN license in the state of employment preferred
  • Experience in the OR, ICU, or ER as an RN highly preferred
  • Required minimum of 2 year of recent DRG Quality Auditing experience in a hospital setting, or health plan. National Coding Certification required through either AHIMA (preferred) or AAPC
  • Extensive hands-on ICD-10 CM / PCS experience required

PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $68,566 - $104,841
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CERIS:
CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.
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About CERIS

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

51 - 200 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1990

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