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Drg Validator 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 understanding of the MS-DRG and APR-DRG payment systems. The validator is responsible for auditing ...

Jobtailor

Coding Manager, DRG Validator

White Plains, NY · On-site

$120 - $150/hr

DRG validation experience * Excellent understanding of coding guidelines * In-depth understanding of MS-DRG and APR-DRG groupers * Ability to promote teamwork among HIM staff * Leadership skills and ...

New

EnableComp

DRG Validator/Reviewer (REMOTE)

OR · Remote

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure ...

EnableComp

DRG Validator/Reviewer (REMOTE)

OR · On-site +1

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure ...

EnableComp

DRG Validator/Reviewer (REMOTE)

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure ...

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Drg Validator information

What is a DRG Validator?

A DRG Validator reviews and validates Diagnosis-Related Group (DRG) codes assigned to patient records for accuracy and compliance with coding guidelines. They ensure that medical documentation supports the assigned codes, which directly impact hospital reimbursement and reporting. DRG Validators typically work in healthcare facilities, insurance companies, or auditing firms and must have expertise in medical coding, billing regulations, and clinical documentation.

What does a DRG Validator do?

As a DRG Validator, your typical day involves reviewing patient medical records and coding assignments to ensure accurate DRG classification and compliance with coding guidelines. You may collaborate closely with medical coders, clinical documentation improvement specialists, and healthcare providers to clarify documentation or resolve discrepancies. The role often requires you to stay updated on coding regulations and participate in quality assurance meetings. Attention to detail and thorough documentation are essential, as your work directly impacts hospital reimbursement and data integrity.

What are the key skills and qualifications needed to thrive as a DRG Validator?

To thrive as a DRG Validator, you need a strong understanding of medical coding, clinical documentation, and Diagnosis Related Group (DRG) assignment, often supported by an RHIA, RHIT, or CCS certification. Familiarity with coding software (such as 3M or TruCode), electronic medical record (EMR) systems, and current ICD-10-CM/PCS coding standards is essential. Attention to detail, analytical thinking, and effective communication are key soft skills in this position. These abilities are crucial to accurately validate coding, ensure compliance with regulatory standards, and reduce reimbursement errors.

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Drg Validator jobs near you
Infographic showing various Drg Validator job openings in the United States as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 40% In-person, and 60% Remote job distribution.

DRG Validator (Full-time)

Healthcare Coding And Consulting Svcs

Murfreesboro, TN • Remote

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 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