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Drg Coding Director Jobs (NOW HIRING)

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 ...

Centene

DRG Reviewer

$70K - $126K/yr

Requires advanced expertise in ICD-10-CM/PCS coding and the ability to exercise discretion and ... Collaborates with the Medical Director on complex cases, providing expert recommendations and ...

ISHE

$24 - $43/hr

... and Director of Coding / Quality Management, among others * Participate in coding department ... DRG coding in an acute care facility setting * 3+ years of experience with ICD-10-CM, ICD-10-PCS ...

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As of Sep 14, 2026, the average hourly pay for drg coding director in the United States is $40.90, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $58.65 per hour, depending on experience, location, and employer.

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Infographic showing various Drg Coding Director job openings in the United States as of July 2026, with employment types broken down into 85% Full Time, 11% Part Time, 1% Temporary, and 3% Contract. Highlights an 79% Physical, 4% Hybrid, and 17% Remote job distribution, with an average salary of $85,063 per year, or $40.9 per hour.

DRG Validator- Remote

Garden City, NY • Remote

Jzanus Consulting
See more jobs at Jzanus Consultingexternal

$85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Job description

Job Description

The DRG Validation position requires an extensive background in inpatient DRG coding with a deep understanding of the MS-DRG and APR-DRG payment systems. The validator is responsible for auditing inpatient medical records, ensuring the accuracy of coding, provider documentation, and DRG assignment.

Key Responsibilities

Perform concurrent and retrospective clinically based and MS-DRG and APR DRG validation reviews in compliance with appropriate coding and payments adhering to Uniform

Hospital Discharge Date Set (UHDDS) and Medicare guidelines including Federal and State regulations.

Review the correct assignment of ICD-10-CM diagnosis & ICD-10-PCS procedure codes.

Effectively utilize facility Encoders, EMRs, abstracting systems (3M, EPIC, etc.) and auditing tools and systems (e.g., TruCode, 3M Standalone, etc.) proficiently to make audit determinations.

Write clear, accurate, and concise rationales supporting audit findings.

Compose physician queries for clarification of documentation.

Provide coder education referencing applicable coding references following audits.

Review DRG/coding denial letters and compose effectively supported appeal response letters to third party auditors and insurance carriers that summarize and support hospital position of upholding or overturning of External, PRO and/or RAC Determinations.

Provide written recommendations for optimal coding and DRG / SOI assignment.

Stay up to date on regulatory changes affecting coding rules and regulations.

Maintain proficiency on the Official Coding Guidelines for Coding and Reporting and AHA

Coding Clinics.

Meets or Exceeds Standards / Guidelines for productivity maintaining production goals set by the Director of HIM Technical Services.

Meets or Exceeds Standards / Guidelines for accuracy and quality achieving the expected level set by the Director of HIM Technical Services. Quality accuracy rate must be maintained at 95-100%.

Able to effectively communicate with physicians, CDI staff and other clinicians regarding documentation, queries and/or coding guidelines.

Qualifications

Must have one of the following AHIMA certifications: CCS, RHIT, or RHIA

Extensive knowledge of medical terminology, anatomy, coding terminology and coding guidelines for ICD-10-CM/PCS, CPT, Modifiers, etc.

Equivalent experience of 5+ years in DRG/Clinical Validation claims auditing, quality assurance or recovery auditing.

Minimum of 5+ years of working with ICD-10-CM/PCS, MS-DRG, and APR-DRG with a broad knowledge of medical claims billing/payment systems, and payer reimbursement policies.

Adherence to Official Coding Guidelines for Coding and Reporting, Coding Clinic determinations, CMS, and other regulatory compliance guidelines and mandates which requires expert coding knowledge of DRG, ICD-10-CM and PCS codes.

Demonstrates basic skills in Microsoft Outlook, Word, Excel, PowerPoint, 3M, TruCode,Teams, SharePoint, and other applications.

Must have good written and verbal communication skills.

Possess the ability to educate health care professionals in various settings.

Responsible and self-sufficient with strong analytical and research skills.

Must be able to meet or exceed deadline completion times required.

Job Type: Full-time

Salary: From $80,000.00 per year

Benefits:

401(k)

401(k) matching

Dental insurance

Flexible schedule

Health insurance

Life insurance

Paid time off

Vision insurance

Schedule:8 hour shift

Work setting:Remote

Experience: ICD coding: 5 years (Required)

License/Certification:AHIMA Certification (Required)

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