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Contract Remote Drg Validation Jobs (NOW HIRING)

Sr. Inpatient Clinical Coder

Yuma, AZ ยท Remote

$80K - $90K/yr

Perform DRG validation and retrospective medical claims reviews * Analyze inpatient and outpatient ... Remote (must reside in an approved state) Full-time position * Independent home office work ...

Inpatient Coder - Remote

$22.25 - $26.75/hr

Inpatient Coder (Remote) Full-time โ€ข Work From Home Must have CCS, RHIA, or RHIT certification ... A CIS III performs coding and/or code/DRG validation across multiple entities by applying all ...

$80K - $90K/yr

Perform DRG validation and retrospective medical claims reviews * Analyze inpatient and outpatient ... Remote (must reside in an approved state) Full-time position * Independent home office work ...

Inpatient Coding Auditor WFH

$28 - $31.75/hr

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their ... At least 1 year of Inpatient Facility Coding Auditing or DRG Validation with a minimum of 5 years ...

Inpatient Coding Auditor WFH

$28 - $31.75/hr

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their ... At least 1 year of Inpatient Facility Coding Auditing or DRG Validation with a minimum of 5 years ...

Certified Coder (PRN)

$23.25 - $31/hr

Conduct DRG validation to ensure appropriate assignment based on clinical documentation and coding ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...

Inpatient Coding Auditor WFH

$28 - $31.75/hr

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their ... At least 1 year of Inpatient Facility Coding Auditing or DRG Validation with a minimum of 5 years ...

Certified Coder (PRN)

$23.25 - $31/hr

Conduct DRG validation to ensure appropriate assignment based on clinical documentation and coding ... Comfortable with remote work arrangements and virtual collaboration tools * Physical demands ...

Apply all appropriate coding guidelines, regulatory requirements, and DRG validation criteria ... Proven ability to meet productivity and quality metrics in a remote environment. High level of ...

That focuses on compliant coding practices, DRG validation and coding quality. * Developing coding ... Remote - United States Travel: May include up to 10% domestic/international travel Must be legally ...

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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 Aug 19, 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 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.

What are the key skills and qualifications needed to thrive as a contract remote DRG validator?

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.
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Infographic showing various Contract Remote Drg Validation job openings in the United States as of August 2026, with employment types broken down into 56% Full Time, 11% Part Time, and 33% Contract. Highlights an 100% Remote job distribution, with an average salary of $108,152 per year, or $52 per hour.

Sr. Inpatient Clinical Coder

TEEMA Group

Yuma, AZ โ€ข Remote

$80K - $90K/yr

Full-time

Re-posted 28 days ago


Job description

Role Summary

The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services.

In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical professional who thrives in a fast-paced, remote environment and is passionate about accuracy, compliance, and continuous improvement in healthcare operations.


Duties & Responsibilities
  • Serve as a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding

  • Perform DRG validation and retrospective medical claims reviews

  • Analyze inpatient and outpatient claims for coding accuracy and reimbursement determinations

  • Prepare clear, detailed determination letters and written review outcomes

  • Identify coding discrepancies, potential fraud, and quality concerns

  • Provide training, mentorship, and guidance to clinical coding staff

  • Collaborate with cross-functional teams to support coding inquiries and review findings

  • Research and apply medical policies, benefits, limitations, and current coding guidelines

  • Ensure timely completion of coding reviews in alignment with performance standards

  • Maintain accurate and thorough documentation within medical management and claims systems

  • Escalate complex or high-risk cases to the Medical Director as appropriate


Required Qualifications
  • High School Diploma or GED

  • Active credential in one of the following:

    • Certified Inpatient Coder (CIC)

    • Certified Coding Specialist (CCS)

    • Registered Health Information Technician (RHIT)

  • Minimum of five (5) years of clinical coding experience (facility and/or professional)

  • Minimum of three (3) years of inpatient and/or outpatient claims processing experience

  • Experience working in a fast-paced, production-driven environment

  • Ability to obtain and maintain a favorable background investigation

  • U.S. Citizenship required


Desired Qualifications
  • Experience within managed care, health insurance, or private healthcare industry

  • Familiarity with government healthcare programs and regulatory guidelines

  • Advanced expertise in inpatient facility coding and DRG validation

  • Strong analytical, critical thinking, and problem-solving skills

  • High attention to detail with strong organizational capabilities

  • Ability to manage large volumes of complex information independently

  • Effective communication and collaboration across multidisciplinary teams

  • Proficiency in Microsoft Word, Excel, and multi-system environments


Location & Work Type

100% Remote (must reside in an approved state)
Full-time position

  • Independent home office work environment required

  • Prolonged computer use and sitting required

  • Flexibility to support varying work schedules as needed