ZipRecruiter

Log In

1

Drg Coder Jobs in Virginia (NOW HIRING)

Trice Healthcare

Coding Payment Resolution Spec

Richmond, VA · On-site

$18.50 - $23.75/hr

... DRG assignment. * Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or ...

Concept Plus, LLC

Cloud Network Engineer

Fairfax, VA · On-site

$120 - $180/hr

Design and build VCNs, subnets, DNS, FastConnect, Dynamic Routing Gateways (DRG), private endpoints ... Infrastructure-as-Code experience (Terraform/OCI Resource Manager) for network provisioning. * Must ...

Datavant

CDQI Nurse Specialist PRN

Richmond, VA · On-site

$40 - $45/hr

Demonstrate understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG. * Improve coding specificity by ...

Datavant

CDQI Nurse Specialist- FT

Richmond, VA · On-site

$40 - $45/hr

Demonstrate understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG. * Improve coding specificity by ...

Sentara Health

Anesthesiology Physician

Suffolk, VA · On-site

$380K/yr

Knowledge of clinical documentation integrity (CDI), hospital billing and coding practices, case mix index (CMI), and DRG assignment methodologies. * Familiarity with InterQual, MCG, or similar level ...

previous page

Showing results 41-60

All JobsDrg Coder JobsDrg Coder Jobs in Virginia

Drg Coder information

See Virginia salary details

$15

$27

$43

How much do drg coder jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for drg coder in Virginia is $27.26, according to ZipRecruiter salary data. Most workers in this role earn between $18.85 and $34.33 per hour, depending on experience, location, and employer.

What is a DRG coder?

DRG coders are medical coding professionals who assign Diagnosis-Related Group (DRG) codes to inpatient hospital records. These codes are used to classify hospital cases into groups for the purpose of reimbursement, billing, and data analysis. DRG coders analyze clinical documentation and translate diagnoses, procedures, and patient information into standardized codes according to official guidelines. Their work ensures hospitals receive proper payment from insurance providers and government programs. Accuracy and compliance with regulations are critical in this role.

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

To thrive as a DRG Coder, you need a strong understanding of medical coding, anatomy, and disease processes, often supported by a coding certification such as CCS, RHIT, or CPC. Familiarity with coding systems like ICD-10-CM/PCS, encoder software, and hospital information systems is essential. Attention to detail, critical thinking, and effective communication are important soft skills for ensuring coding accuracy and collaborating with clinical staff. These skills and qualifications are crucial for accurate reimbursement, regulatory compliance, and supporting overall healthcare data quality.

What are some common challenges faced by DRG coders in accurately assigning codes, and how can they overcome these challenges?

DRG Coders often face challenges such as incomplete or ambiguous clinical documentation, rapidly changing coding guidelines, and the pressure to meet productivity standards while ensuring accuracy. To overcome these obstacles, coders should actively collaborate with physicians for clarifications, participate in ongoing education to stay current with coding updates, and utilize internal audit feedback to continuously improve their skills. Building strong communication channels with clinical and billing teams also helps in resolving discrepancies efficiently.

What is the difference between Drg Coder vs Medical Coder?

AspectDrg CoderMedical Coder
CertificationsAHIMA or AAPC certifications, specialized in DRG assignmentCertified Professional Coder (CPC), general coding certifications
Work EnvironmentHospitals, inpatient facilities, focusing on inpatient codingClinics, outpatient facilities, focusing on outpatient coding
Job FocusAssigning Diagnosis-Related Groups (DRGs) for inpatient billingConverting medical records into standardized codes for billing and documentation

While both Drg Coders and Medical Coders handle medical coding, Drg Coders specialize in inpatient coding and DRG assignment, often requiring specific certifications and experience with hospital billing. Medical Coders have a broader scope, working in outpatient settings with different coding systems. Understanding these differences helps in choosing the right career path or job focus.

Are Drg coders still in demand?

DRG coders, also known as diagnosis-related group coders, are in steady demand due to the ongoing need for accurate medical coding in healthcare reimbursement. The role requires knowledge of coding systems like ICD and CPT, and demand is expected to remain stable as healthcare providers and insurers prioritize precise coding for billing and compliance.

What are popular job titles related to Drg Coder jobs in Virginia?

For Drg Coder jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Drg Coder jobs in Virginia look for?

The top searched job categories for Drg Coder jobs in Virginia are:

What cities in Virginia are hiring for Drg Coder jobs?

Cities in Virginia with the most Drg Coder job openings:

Drg Coder jobs near you
Infographic showing various Drg Coder job openings in Virginia as of August 2026, with employment types broken down into 68% Full Time, and 32% Contract. Highlights an 49% In-person, and 51% Remote job distribution, with an average salary of $56,691 per year, or $27.3 per hour.

Coding Payment Resolution Spec

Trice Healthcare

Richmond, VA • On-site

$18.50 - $23.75/hr

Other

Re-posted 10 days ago

Job description

Coding Payment Resolution Specialist

Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and judgment within the Hospital and/or Medical Group revenue operations of a Patient Business Services center.

Serves as part of a team of coding payment resolution colleagues at a PBS location responsible for identifying and determining root causes of denials.

Responsible for leveraging coding knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as required by payers. In addition to promoting departmental awareness of coding best practices.

This position reports directly to the Supervisor Clinical/Coding Payment Resolution.

Essential Functions

  • Knows, understands, incorporates, and demonstrates the Client Mission, Vision, and Values in behaviors, practices, and decisions.
  • Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.
  • Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.
  • Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility.
  • Other duties as needed and assigned by the Supervisor Clinical / Coding Payment Resolution.
  • Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Client and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Minimum Qualifications

  • High school diploma or Associate degree in Accounting or Business Administration or related field, and a minimum of four (4) years' experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
  • Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding, as normally obtained through a coding certificate program and least one (1) year of physician/professional or hospital outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment.
  • Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
  • Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
  • Possesses detailed understanding of principles, methods, and techniques related to compliant healthcare billing/collections.
  • Possesses expertise in medical terminology, disease processes, patient health record content and the medical record coding process.
  • Must be comfortable operating in a collaborative, shared leadership environment.
  • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Client.

Apply