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Drg Reviewer Remote Jobs (NOW HIRING)

MedReview

DRG Reviewer

Manhattan, NY · On-site +1

$85K - $90K/yr

Under the direction of the DRG Operations leadership team, the DRG Reviewer conducts reviews of ... This is a fully remote position. Candidates must be available to work Eastern Standard Time (EST ...

MedReview

DRG Reviewer

Manhattan, NY · Remote

Under the direction of the DRG Operations leadership team, the DRG Reviewer conducts reviews of ... This is a fully remote position. Candidates must be available to work Eastern Standard Time (EST ...

Centene

DRG Reviewer

$70K - $126K/yr

Responsible for independently conducting comprehensive reviews of MS-DRG and APR-DRG coding and ... Remote Role: 4+ years experience of performing MS-DRG and APR-DRG coding required. In-patient and ...

EnableComp

DRG Validator/Reviewer (REMOTE)

OR · On-site +1

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

Enablecomp

DRG Validator/Reviewer (REMOTE)

Franklin, TN · Remote

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

Enablecomp

DRG Validator/Reviewer (REMOTE)

Franklin, TN · Remote

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

EnableComp

DRG Validator/Reviewer (REMOTE)

Franklin, TN · Remote

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

EnableComp

DRG Validator/Reviewer (REMOTE)

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

EnableComp

DRG Validator/Reviewer (REMOTE)

Franklin, TN · Remote

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

Vaya Health

Complex Claims Clinical Reviewer (Remote)

NC · Remote

$68K - $88K/yr

Remote - This is a home based, virtual position that operates Monday -Friday from 8:30am-5:00pm ... GENERAL STATEMENT OF JOB Conduct prepayment and post-payment audits of DRG coding and clinical ...

EnableComp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$27 - $30.50/hr

Review inpatient claims imported into the DRG database, focusing on diagnosis, procedures, grouping logic, and reimbursement accuracy. * Analyze weekly hospital billing files, identifying underpaid ...

EnableComp

DRG Auditor (REMOTE)

OR · On-site +1

$27.25 - $31/hr

Review inpatient claims imported into the DRG database, focusing on diagnosis, procedures, grouping logic, and reimbursement accuracy. * Analyze weekly hospital billing files, identifying underpaid ...

Enablecomp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$27 - $30.50/hr

Review inpatient claims imported into the DRG database, focusing on diagnosis, procedures, grouping logic, and reimbursement accuracy. * Analyze weekly hospital billing files, identifying underpaid ...

EnableComp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$28 - $31.75/hr

Review inpatient claims imported into the DRG database, focusing on diagnosis, procedures, grouping logic, and reimbursement accuracy. * Analyze weekly hospital billing files, identifying underpaid ...

Machinify

DRG QA and Trainer

$85K - $95K/yr

Review and audit the work of new and existing DRG Reviewers to ensure accuracy, compliance, and ... Proven success in a remote working environment * Proficient in Windows office systems, including ...

EnableComp

DRG Auditor (REMOTE)

$28 - $31.75/hr

Review inpatient claims imported into the DRG database, focusing on diagnosis, procedures, grouping logic, and reimbursement accuracy. * Analyze weekly hospital billing files, identifying underpaid ...

Enablecomp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$27 - $30.50/hr

Review inpatient claims imported into the DRG database, focusing on diagnosis, procedures, grouping logic, and reimbursement accuracy. * Analyze weekly hospital billing files, identifying underpaid ...

Machinify

DRG QA and Trainer

$85K - $95K/yr

Review and audit the work of new and existing DRG Reviewers to ensure accuracy, compliance, and ... Proven success in a remote working environment * Proficient in Windows office systems, including ...

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Drg Reviewer Remote information

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How much do drg reviewer remote jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for drg reviewer remote in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $22.60 and $36.54 per hour, depending on experience, location, and employer.

What are popular job titles related to Drg Reviewer Remote jobs?

For Drg Reviewer Remote jobs, the most frequently searched job titles are:

DRG Reviewer

Manhattan, NY • On-site, Remote

MedReview
Health Care and Social Assistance • 201 - 500 employees
Learn more about MedReviewexternal

$85K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 6 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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