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DRG Coding Validator

Franklin, TN · Remote

$105K - $115K/yr

The DRG Coding Validator integrates advanced clinical nursing knowledge with expert inpatient coding proficiency to perform comprehensive validation of Diagnosis-Related Group (DRG) assignments and ...

ClarisHealth

DRG Clinical Coding Validator

Franklin, TN · Remote

$34.25 - $46.25/hr

The DRG Coding Validator integrates advanced clinical nursing knowledge with expert inpatient coding proficiency to perform comprehensive validation of Diagnosis-Related Group (DRG) assignments and ...

ClarisHealth

DRG Clinical Coding Validator

Franklin, TN · On-site +1

$34.25 - $46.25/hr

The DRG Coding Validator integrates advanced clinical nursing knowledge with expert inpatient coding proficiency to perform comprehensive validation of Diagnosis-Related Group (DRG) assignments and ...

Brown University Health

Enters codedbstracted information and/or validates codes into the 3M DRG grouper assigning utilizing computer-assisted coding tools. Assigns accurate MS-DRG or APR-DRG through use of the clinical ...

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How much do coding validator jobs pay per hour?

As of May 29, 2026, the average hourly pay for coding validator in the United States is $25.84, according to ZipRecruiter salary data. Most workers in this role earn between $23.32 and $28.12 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Coding Validator, and why are they important?

To thrive as a Coding Validator, you need a strong understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and a relevant certification like CCS, CPC, or RHIT. Expertise with coding software, electronic health records (EHRs), and auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for ensuring coding accuracy and collaborating with healthcare teams. These competencies are vital to ensure compliance, maximize reimbursement, and reduce errors in healthcare billing processes.

How does a Coding Validator typically collaborate with medical coders and billing teams to ensure accurate claim submissions?

As a Coding Validator, you play a crucial role in reviewing and verifying the accuracy of medical codes assigned by coders before claims are submitted to insurance providers. You frequently interact with both medical coding and billing teams to clarify documentation, resolve discrepancies, and provide feedback on coding practices. Regular communication and teamwork are essential, as your input helps prevent claim denials and ensures compliance with regulatory standards. This collaborative environment not only supports organizational accuracy but also offers opportunities for professional growth through cross-functional learning.

What are Coding Validators?

Coding Validators are professionals who review and verify codes assigned to medical diagnoses, procedures, or treatments to ensure accuracy and compliance with regulations. They often work in healthcare settings, auditing coding performed by medical coders to confirm it aligns with clinical documentation and coding guidelines. Their work helps prevent billing errors, supports proper reimbursement, and reduces the risk of compliance issues. Coding Validators play a critical role in maintaining the integrity of medical records and supporting healthcare quality initiatives.

What is the difference between Coding Validator vs Coding Auditor?

AspectCoding ValidatorCoding Auditor
Required CredentialsCertification in medical coding (e.g., CPC, CCS)Certification in medical coding and auditing (e.g., CPC, RAC)
Work EnvironmentHealthcare facilities, coding companiesHospitals, insurance companies, healthcare organizations
Employer & Industry UsagePrimarily used for ensuring coding accuracy before billingUsed for compliance, quality assurance, and audit purposes
Common Search & ComparisonYesYes

While both Coding Validators and Coding Auditors work to ensure accurate medical coding, Validators focus on verifying code correctness during the coding process, often before billing. Auditors review completed codes for compliance and accuracy, often as part of quality assurance or regulatory requirements. Both roles require similar certifications but serve different stages in the coding and billing workflow.

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Coding Validator jobs near you
Infographic showing various Coding Validator job openings in the United States as of May 2026, with employment types broken down into 1% Internship, 2% As Needed, 2% Full Time, 72% Part Time, 2% Temporary, and 21% Contract. Highlights an 96% Physical, and 4% Hybrid job distribution, with an average salary of $53,749 per year, or $25.8 per hour.

Coding Validator (E)

CharterCARE Health of Rhode Island, Inc

Providence, RI • On-site

Full-time

Posted 8 days ago

Job description

Summary: Under the general supervision of the Coding Manager, the Coding Validator will perform ongoing audits of inpatient and outpatient medical records to validate the accuracy of ICD-10-CM/PCS, CPT, HCPC's, POA indicators and modifiers. Responsible for developing reports and identifying positive/negative coding trends. Will communicate with the medical staff regarding retrospective coding queries and provide recommendations for education to coders, physicians, CDI and quality. Will review external audit findings, write appeals and provide feedback and education to coders as appropriate.
Education: AS or BS in Health Information Technology/Administration.
Licensure: CCS required.
Experience: Extensive ICD-9-CM, ICD-10-CM/PCS and CPT 4 coding experience in an acute care setting required. Validation experience required.
Skills and Abilities:
• Team leader, with excellent verbal, written and interpersonal skills.
• In depth and up-to-date knowledge and understanding of anatomy and physiology, medical terminology, patho-physiology and pharmacy in order to read, analyze and code the medical record.
• In-depth knowledge of ICD-9-CM, ICD-10 CM and PCS and CPT-4 coding principles and conventions.
• In-depth knowledge of reimbursement methodologies.
• Ability to communicate and work effectively with physicians and other professional staff.
• Current knowledge of coding reference materials; e.g. 3M references, AHA Coding Clinic, AMA CPT Assistant, etc.
• Accurate data entry and retrieval skills in multiple computer systems

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