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Contract Remote Drg Validation Jobs (NOW HIRING)

MMC Group

DRG Auditor

San Antonio, TX · Remote

... remote DRG Validation Auditors. As members of the DRG Validation Team and working remotely ... If the contract requires onsite review, interact with Providers and other personnel in a ...

Jzanus Consulting

DRG Validator- Remote

Garden City, NY · Remote

$85K/yr

The DRG Validation position requires an extensive background in inpatient DRG coding with a deep ... Remote Experience: ICD coding: 5 years (Required) License/Certification:AHIMA Certification ...

MedReview

DRG Reviewer

Manhattan, NY · On-site +1

$85K - $90K/yr

... Validation, Cost Outlier, and Readmission Reviews. Under the direction of the DRG Operations ... This is a fully remote position. Candidates must be available to work Eastern Standard Time (EST ...

MedReview

DRG Reviewer

Manhattan, NY · Remote

... Validation, Cost Outlier, and Readmission Reviews. Under the direction of the DRG Operations ... This is a fully remote position. Candidates must be available to work Eastern Standard Time (EST ...

CGI Inc.

Remote MSDRG Auditor

Atlanta, GA · On-site +1

The DRG Validation Auditor is a member of the CGI Healthcare Compliance, DRG Validation Team, with ... If the contract requires onsite review, interacts with Providers and other personnel in a ...

Insight Global

DRG Auditor

South Jordan, UT · Remote

$95K/yr

... a DRG Validation Auditor for one of our clients to sit 100% remote. This person should have an extensive background in either facility-based nursing, clinical documentation, and/or inpatient coding ...

Zelis

Inpatient DRG Sr. Reviewer

Saint Petersburg, FL · On-site +1

$95K - $120K/yr

Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of ... We foster a hybrid and remote friendly culture, and all our employee's work locations are based on ...

Zelis

Inpatient DRG Sr. Reviewer

Saint Louis, MO · On-site +1

$95K - $120K/yr

Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of ... We foster a hybrid and remote friendly culture, and all our employee's work locations are based on ...

Pivotal Placement Services

$95K - $105K/yr

... 📍 Remote | Full-Time | 🏥 Healthcare | Clinical Documentation & Coding About the Role We're seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical ...

Zelis

Inpatient DRG Sr. Reviewer

Boston, MA · On-site +1

$95K - $120K/yr

Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of ... We foster a hybrid and remote friendly culture, and all our employee's work locations are based on ...

Zelis

Inpatient DRG Sr. Reviewer

Morristown, NJ · On-site +1

$95K - $120K/yr

Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of ... We foster a hybrid and remote friendly culture, and all our employee's work locations are based on ...

Zelis

Inpatient DRG Sr. Reviewer

Plano, TX · On-site +1

$95K - $120K/yr

Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of ... We foster a hybrid and remote friendly culture, and all our employee's work locations are based on ...

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Contract Remote Drg Validation information

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How much do contract remote drg validation jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for contract remote drg validation in the United States is $52.00, according to ZipRecruiter salary data. Most workers in this role earn between $39.42 and $63.22 per hour, depending on experience, location, and employer.

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

To thrive as a Contract Remote DRG Validator, you need in-depth knowledge of medical coding, DRG assignment, clinical documentation, and a credential such as RHIA, RHIT, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and auditing tools is typically required. Attention to detail, analytical thinking, and strong communication skills are vital for accurately validating codes and collaborating with healthcare providers. These skills ensure precise reimbursement, compliance with regulations, and high-quality data for healthcare organizations.

What are some common challenges faced by Contract Remote DRG Validation professionals, and how can they be managed?

Contract Remote DRG Validation professionals often encounter challenges such as ensuring accurate code assignment despite limited direct access to providers and varying documentation quality. Managing these challenges requires strong communication skills for clarifying ambiguous records, ongoing education to stay updated on coding guidelines, and proficiency with remote access technologies. Collaboration with healthcare teams and regular participation in virtual meetings can help maintain consistency and resolve discrepancies efficiently. Additionally, effective time management is crucial to meet deadlines and client expectations in a remote setting.

What is a Contract Remote DRG Validator?

A Contract Remote DRG Validator is a healthcare professional, often a certified coder or auditor, who works on a contract basis from a remote location to review and validate Diagnosis-Related Group (DRG) assignments on medical claims. Their primary responsibility is to ensure that hospital coding and billing accurately reflect the patient's diagnoses and procedures, which affects reimbursement rates. DRG validators help healthcare organizations maintain compliance with coding standards and optimize revenue by auditing records and correcting any discrepancies. This role requires a strong understanding of medical coding, clinical documentation, and DRG reimbursement methodologies.
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Contract Remote Drg Validation jobs near you
Infographic showing various Contract Remote Drg Validation job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 62% Full Time, 19% Part Time, 1% Temporary, and 17% Contract. Highlights an 80% Physical, 2% Hybrid, and 18% Remote job distribution, with an average salary of $108,152 per year, or $52 per hour.
DRG Auditor

DRG Auditor

MMC Group

San Antonio, TX • Remote

Full-time

Posted 26 days ago

Job description


Job Description:

A leader in providing clinical auditing services to public and commercial healthcare payers throughout the US, has openings for remote DRG Validation Auditors. As members of the DRG Validation Team and working remotely, incumbents will be responsible for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries of various health plans, including Commercial, Medicare, and Medicaid Clients. DRG Validation Auditors are charged with rendering appropriate, well-supported, and thoroughly-documented decisions, which may result in identification of improper payments (overpayments and underpayments) on paid claims on behalf of the client from various providers of clinical services, including but not limited to acute care, long-term acute care, acute rehabilitation, and skilled nursing facilities, as well as other provider types and care settings. Initially, DRG Validation Auditors are prepared for the role through a detailed, well-defined training process, gaining knowledge and skills in methods for review of medical records and other provider documentation. Ongoing training and education are provided specific to audit processes, coding and reimbursement changes, and other topics as well. The DRG Validation Auditor reports to a DRG Validation Team Leader, who provides support, feedback, and guidance to DRG Validation Auditors. Moreover, quality assurance is provided through a well-defined review and quality management program performed by the Professional Development Team.


Specifically, DRG Validation Auditors will be responsible for the following:


  • Review inpatient medical records to validate the admit order, assignment and sequencing of ICD9-CM diagnosis and procedure codes, discharge status codes, and DRG assignment.

  • Provide a detailed rationale for every medical record review resulting in a DRG Review Results letter, including supporting references.

  • Follow proper procedure for referral to Clinical Nurse Auditor or Physician Advisor.

  • Utilize proper reference material, standards, and guidelines for coding.

  • Provide input to the Edit Development team on claims selection criteria.

  • Verify data received from client and work to resolve discrepancies.

  • If the contract requires onsite review, interact with Providers and other personnel in a professional manner.

  • Follow policies and processes

  • Comply with department standards regarding productivity and audit quality.

  • Perform other duties as assigned.



To be considered for these challenging roles, applicants must have a majority of the following skills, knowledge and abilities:


  • Possess current AHIMA credentials (RHIT/RHIA/CCS), with current CCS preferred

  • Demonstrate extensive knowledge of ICD-9-CM coding and DRG reimbursement, with a minimum of five years of inpatient coding experience

  • Have an understanding of Medicare, Medicaid, and commercial provider reimbursement methodologies, and possess strong data analysis skills

  • Working knowledge of computer functions and applications such as Microsoft Office (Outlook, Word, Excel) and Windows operating systems

  • Ability to write a well-reasoned review in a narrative style, with accurate spelling, grammar, punctuation, and sentence structure

  • Ability to adapt to changing priorities in order to meet Client requirements and productivity standards and deadlines

  • Ability to travel for additional training and on-site reviews on an as-needed basis

  • Since incumbents will work from their home-based offices, they must have their own access to high-speed Internet connectivity