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Director Drg Jobs (NOW HIRING)

Centene

DRG Reviewer

$70K - $126K/yr

Collaborates with the Medical Director on complex cases, providing expert recommendations and ... DRG and APR-DRG coding required 2+ years experience of performing DRG reviews for a Payment ...

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 ... Director of HIM Technical Services. Meets or Exceeds Standards / Guidelines for accuracy and ...

CVS Health

Medical Director (Medical Policy Ops-DRG)

$174K - $374K/yr

... Director may also provide subject matter expertise in clinical and payment policy to support clinical and business direction in these areas. In addition, be a subject matter expert in DRG reviews and ...

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DRG Validator (Full-time)

Murfreesboro, TN • Remote

Healthcare Coding And Consulting Svcs
See more jobs at Healthcare Coding And Consulting Svcsexternal

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Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Job description

Healthcare Coding & Consulting Services (HCCS) is seeking an experienced DRG Validator to join our growing team. This is a full-time, fully remote opportunity for a highly skilled coding professional with extensive experience in DRG validation, inpatient auditing, and complex inpatient coding.

At HCCS, we are committed to providing stable, long-term careers. Every member of our team is a direct-hire W-2 employee who plays an important role in delivering high-quality coding services to our clients. We proudly keep all coding operations within the United States, allowing us to maintain exceptional quality while supporting American coding professionals.

If you have a strong background in DRG validation, inpatient auditing, and complex trauma coding, we encourage you to apply.

Position Requirements:

  • Active AHIMA or AAPC coding certification required.
  • CCS certification required.
  • CDIP and/or CCDS certification preferred.
  • Minimum of 3 years of recent APR-DRG/DRG coding experience in a Level II Trauma Center or higher.
  • Minimum of 1 year of recent inpatient auditing experience in a Level II Trauma Center or higher.
  • Previous DRG/APR-DRG validation experience required.
  • Strong knowledge of ICD-10-CM/PCS coding guidelines, MS-DRG/APR-DRG assignment, reimbursement methodologies, and documentation requirements.
  • Ability to identify coding opportunities, validate DRG assignment, and provide clear audit findings.
  • Excellent written and verbal communication skills with strong attention to detail.
  • Must reside in the United States.

Benefits:

  • Competitive compensation
  • 401(k)
  • Medical, dental, vision, and life insurance
  • Paid time off
  • Fully remote, direct-hire W-2 position
  • Long-term career growth with a family-owned company

Education:

  • High school diploma or equivalent required

Job Type:

  • Full-time