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Drg Analyst Jobs (NOW HIRING)

MedReview

DRG Reviewer

Manhattan, NY · On-site +1

$85K - $90K/yr

Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate the reported ICD-10-CM/PCS codes to ensure proper DRG assignment for accurate billing.

EnableComp

DRG Auditor (REMOTE)

OR · On-site +1

$27.25 - $31/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and ...

EnableComp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$28 - $31.75/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and ...

Zelis

Inpatient DRG Reviewer

Saint Louis, MO · On-site

$79K - $99K/yr

Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... Experience conducting root cause analysis and identifying solutions * Strong organization skills ...

EnableComp

DRG Validator/Reviewer (REMOTE)

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and ...

EnableComp

DRG Validator/Reviewer (REMOTE)

OR · Remote

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and ...

EnableComp

DRG Validator/Reviewer (REMOTE)

OR · On-site +1

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and ...

Zelis

Inpatient DRG Reviewer

Morristown, NJ · On-site

$79K - $99K/yr

Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... Experience conducting root cause analysis and identifying solutions * Strong organization skills ...

Zelis

Inpatient DRG Reviewer

Saint Petersburg, FL · On-site

$79K - $99K/yr

Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... Experience conducting root cause analysis and identifying solutions * Strong organization skills ...

Zelis

Inpatient DRG Reviewer

Atlanta, GA · On-site

$79K - $99K/yr

Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... Experience conducting root cause analysis and identifying solutions * Strong organization skills ...

Zelis

Inpatient DRG Reviewer

Saint Petersburg, FL

Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... Experience conducting root cause analysis and identifying solutions * Strong organization skills ...

Zelis

Inpatient DRG Reviewer

Morristown, NJ

Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... Experience conducting root cause analysis and identifying solutions * Strong organization skills ...

Zelis

Inpatient DRG Reviewer

Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... Experience conducting root cause analysis and identifying solutions * Strong organization skills ...

Zelis

Inpatient DRG Reviewer

Boston, MA · On-site

$79K - $99K/yr

Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... Experience conducting root cause analysis and identifying solutions * Strong organization skills ...

Zelis

Inpatient DRG Reviewer

Plano, TX

Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... Experience conducting root cause analysis and identifying solutions * Strong organization skills ...

Zelis

Inpatient DRG Reviewer

Boston, MA

Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... Experience conducting root cause analysis and identifying solutions * Strong organization skills ...

Zelis

Inpatient DRG Reviewer

Plano, TX · On-site

$79K - $99K/yr

Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding ... Experience conducting root cause analysis and identifying solutions * Strong organization skills ...

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Drg Analyst information

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How much do drg analyst jobs pay per year?

As of Aug 17, 2026, the average yearly pay for drg analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.

What are the typical daily responsibilities of a DRG analyst?

As a DRG Analyst, your daily tasks usually include reviewing patient medical records to ensure accurate diagnosis and procedure coding, assigning the appropriate DRG for billing, and analyzing trends in hospital reimbursement data. You'll collaborate closely with coding staff, physicians, and billing departments to resolve discrepancies and improve accuracy. Additionally, you may conduct audits and provide education on coding updates and regulatory changes. This role is detail-oriented and critical for ensuring compliance with healthcare regulations and optimizing revenue for healthcare organizations.

What is a DRG analyst?

A DRG (Diagnosis-Related Group) Analyst is a healthcare professional responsible for reviewing medical records, coding diagnoses and procedures, and ensuring accurate reimbursement from insurance payers. They analyze patient data to classify hospital cases into DRGs for billing and regulatory compliance. DRG Analysts work closely with medical coders, billing teams, and compliance officers to optimize claims processing and minimize revenue loss. Their role is crucial in maintaining financial stability and regulatory adherence for healthcare institutions.

What is a Drg analyst job description?

A DRG analyst is responsible for reviewing and analyzing Diagnosis-Related Groups (DRGs) to ensure accurate hospital billing and reimbursement. They interpret medical records, assign appropriate DRGs, and work with healthcare data systems, often requiring knowledge of coding and billing regulations. The role supports healthcare financial management and compliance efforts.

What are the key skills and qualifications needed to thrive in the DRG analyst position, and why are they important?

To thrive as a DRG Analyst, you need a deep understanding of medical coding, healthcare reimbursement systems, and DRG (Diagnosis-Related Group) assignment, typically supported by a degree in health information management or a related field. Familiarity with ICD-10 coding, hospital billing software, and certification such as Certified Coding Specialist (CCS) are often required. Attention to detail, analytical thinking, and effective communication skills help you navigate complex documentation and collaborate with healthcare teams. These abilities are essential to ensure accurate coding, maximize reimbursement, and maintain healthcare compliance.

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Drg Analyst jobs near you
Infographic showing various Drg Analyst job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 6% Part Time, and 7% Contract. Highlights an 81% Physical, 9% Hybrid, and 10% Remote job distribution, with an average salary of $73,261 per year, or $35.2 per hour.

DRG Reviewer

MedReview

Manhattan, NY • On-site, Remote

$85K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago

Job description

Position Summary
At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. We are a leading authority in payment integrity solutions, including DRG Validation, Cost Outlier, and Readmission Reviews.
Under the direction of the DRG Operations leadership team, the DRG Reviewer conducts reviews of inpatient claims to ensure coding accuracy and appropriate DRG assignment while identifying cases requiring clinical review to support coded diagnoses.
This is a fully remote position. Candidates must be available to work Eastern Standard Time (EST) business hours.
Salary: $85,000-$90,000 annually, commensurate with experience.
Responsibilities:
  • Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate the reported ICD-10-CM/PCS codes to ensure proper DRG assignment for accurate billing.
  • Demonstrates the ability to perform a comprehensive initial review as outlined in the standard operating procedures and departmental guides.
  • Collaborates with physician reviewers, as needed.
  • Ability to prioritize and organize workload and complete tasks independently.
  • Required attendance of all departmental team meetings and/or training.
  • Work on other duties or tasks, as necessary.

Performance Expectations:
  • Report productivity daily utilizing department productivity report.
  • Meet/exceed daily productivity expectations.
  • Maintains 95% accuracy in claim reviews.
  • Must be available to work a 7.5-hour workday during Eastern Standard Time (EST) business hours.
  • Comply with organization policy and procedures.

Qualifications:
  • Coding Certification required (at least one of the following is required and must be maintained as a condition of employment).
    • Certified Coding Specialist (CCS)
    • Certified Inpatient Coder (CIC)
    • Registered Heath Information Technician (RHIT)
  • College level courses in medical terminology, anatomy, pathophysiology, pharmacology, and medical coding courses.
  • At least 3 years' experience in MS-DRG and APR-DRG validation in acute care inpatient coding, auditing. Payment integrity DRG validation is a plus.
  • Adherence to the Official Coding and Reporting guidelines, AHA Coding Clinic determinations, and CMS and other regulatory compliance guidelines and mandates.
  • Requires working knowledge of applicable industry-based standards.
  • Proficiency in Outlook, Word, Excel, and other applications.
  • Excellent written and verbal communication skills.
  • Maintain professional credentialed status with approved continuing education programs
  • Ability to work independently and can multi-task or transition to different tasks easily.
Remote Work Requirements:
  • High speed internet (100 Mbps per person recommended) with secured WIFI.
  • A dedicated workspace with minimal interruptions to protect PHI and HIPAA information.
  • Must be able to sit and use a computer keyboard for extended periods of time.

Benefits and perks include:
  • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents.
  • 401(k) with Employer Match - Join the team and we will invest in your future
  • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you're not feeling well, to observe holidays.
  • Wellness - We care about your well-being. From Commuter Benefits to FSAs we've got you covered.
  • Learning & Development - Through continued education/mentorship on the job and our investment in LinkedIn Learning, we're focused on your growth as a working professional.

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