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Entry Level Drg Validation Auditor Jobs (NOW HIRING)

DRG Clinical Validation Nurse

New York, NY ยท Remote

$85K - $95K/yr

... DRG Validation, Cost Outlier and Readmission reviews. We are seeking a registered nurse with ... May consider nurses with inpatient claims auditing experience or case management experience.

DRG Clinical Validation Nurse

Manhattan, NY ยท On-site +1

$85K - $95K/yr

... DRG Validation, Cost Outlier and Readmission reviews. We are seeking a registered nurse with ... May consider nurses with inpatient claims auditing experience or case management experience.

What You'll Do The DRG Revenue Integrity Auditor (DRG-A) performs comprehensive Diagnostic Related ... Perform detailed DRG validation reviews of inpatient charts. * Ensure assigned ICD-10-CM/PCS codes ...

Coding Auditor (ICD-10)

Newark, NJ

$28.50 - $32.50/hr

Coding Auditor (ICD-10) Duration: Full-Time Location: Newark/Wall NJ Job Summary: This position is ... Performs and finalizes multiple per diem, bill verification, DRG Validation (utilization review ...

Clinical Review Auditor I

Fort Worth, TX ยท Remote

$70K - $107K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

Clinical Review Auditor I

Fort Worth, TX ยท Remote

$70K - $107K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

Clinical Review Auditor I

Fort Worth, TX ยท On-site

$70K - $107K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

HIM DRG Coordinator

Mount Vernon, WA ยท On-site

$38.72 - $51.59/hr

Job Summary Responsible for performing DRG validation reviews of medical records and/or other ... The candidate must have extensive clinical experience with a background in auditing medical records ...

Clinical Review QC Auditor

Fort Worth, TX ยท On-site +1

$68K - $104K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

Clinical Review Auditor I

Fort Worth, TX ยท On-site

$70K - $107K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

Inpatient DRG Reviewer

Morristown, NJ ยท On-site

$79K - $99K/yr

Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed ... auditing ICD-10 CM, MS-DRG and APPR-DRG claims preferred * Experience and working knowledge of ...

Inpatient DRG Reviewer

Saint Louis, MO ยท On-site

$79K - $99K/yr

Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed ... auditing ICD-10 CM, MS-DRG and APPR-DRG claims preferred * Experience and working knowledge of ...

Clinical Review QC Auditor

Fort Worth, TX ยท On-site +1

$68K - $104K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

Clinical Review QC Auditor

Fort Worth, TX ยท Remote

$68K - $104K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

Clinical Review QC Auditor

Fort Worth, TX ยท Remote

$68K - $104K/yr

The Diagnostic Related Groups (DRG) Clinical Auditor will be responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation. This role will ...

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Entry Level Drg Validation Auditor information

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$38

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How much do entry level drg validation auditor jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for entry level drg validation auditor in the United States is $38.60, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $32.69 per hour, depending on experience, location, and employer.

What is the difference between Entry Level Drg Validation Auditor vs Entry Level Medical Coding Specialist?

AspectEntry Level Drg Validation AuditorEntry Level Medical Coding Specialist
CertificationsNone required, but certifications like CPC or CCS are a plusCertified Professional Coder (CPC) or similar certifications required
Work EnvironmentHealthcare facilities, insurance companies, or auditing firmsHospitals, clinics, or healthcare providers
Job FocusReviewing diagnosis-related groups (DRGs) for accuracy and complianceAssigning medical codes based on patient records for billing and documentation

While both roles involve healthcare documentation, the Entry Level Drg Validation Auditor primarily reviews DRGs for accuracy, whereas the Entry Level Medical Coding Specialist focuses on assigning medical codes. Both require knowledge of medical terminology and coding standards, but the auditor emphasizes compliance and validation, often working in auditing environments, while the coder concentrates on coding tasks for billing purposes.

What is an Entry Level DRG Validation Auditor?

An Entry Level DRG Validation Auditor is responsible for reviewing and verifying diagnosis-related groups (DRGs) assigned to patient records to ensure accurate coding and billing. The role typically involves analyzing medical documentation, using coding software, and adhering to healthcare regulations, often requiring basic knowledge of medical terminology and coding standards. This entry-level position offers opportunities to develop skills in healthcare auditing and compliance.
More about Entry Level Drg Validation Auditor jobs
What cities are hiring for Entry Level Drg Validation Auditor jobs? Cities with the most Entry Level Drg Validation Auditor job openings:
What are the most commonly searched types of Drg Validation Auditor jobs? The most popular types of Drg Validation Auditor jobs are:
What job categories do people searching Entry Level Drg Validation Auditor jobs look for? The top searched job categories for Entry Level Drg Validation Auditor jobs are:
Infographic showing various Entry Level Drg Validation Auditor job openings in the United States as of August 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 63% In-person, and 37% Remote job distribution, with an average salary of $80,278 per year, or $38.6 per hour.

DRG Clinical Validation Nurse

MedReview

New York, NY โ€ข Remote

$85K - $95K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 hours ago


Job description

Position Summary
At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare.  As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. We are seeking a registered nurse with experience in clinical validation to work within our coding department.  
Candidate should be highly motivated, with strong clinical and coding background. This individual must have excellent communication skills and an analytical mindset to achieve and maintain high-level performance in a fast-paced environment.
This is a fulltime position (40 hours per week) Monday – Friday. You’ll enjoy the flexibility to telecommute from anywhere within the United States. Training will be conducted virtually from your home.
If you are interested in this role with MedReview, please let us know. Here is what we are searching for:
Responsibilities:
 
  • Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical record
  • Must be able to interpret clinical guidelines/criteria and apply to clinical review
  • Solid understanding of anatomy and physiology, diagnostic and surgical procedures developed from specialized training and extensive experience with ICD-10-PCS code assignments
  • Demonstrates the ability to accurately interpret the medical record
  • Writes clear, accurate and concise rationales in support of findings
  • Maintains and manages case reviews with a high emphasis on quality
  • Demonstrates the ability to work in a high – volume production environment
  • Knowledge of health insurance business, industry terminology, and regulatory guidelines 

Qualifications:
 
  • Minimum of two years’ experience in clinical validation in a payment integrity setting required
  • May consider nurses with inpatient claims auditing experience or case management experience.
  • Unrestricted Registered Nurse with active RN licensure required
  • CCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification preferred
  • CCDS or CDIP Certification preferred
  • Knowledge of ICD-10 coding
  • Basic Knowledge of DRG validation and coding
  • Ability to use Windows PC with the ability to utilize multiple applications at the same time

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.

Salary Rate: $85,000 – 95,000/Annually.
 

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