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Part Time Drg Validation Reviewer Jobs (NOW HIRING)

Alliant Credit Union

Lead Model Validation

Chicago, IL · Hybrid

$95K - $163K/yr

Review and challenge validation work performed by third-party vendors, including evaluation of ... regular part-time, or temporary employment. Adhere to and ensure compliance of all business ...

Stantec

Commissioning Validation Specialist

Austin, TX · On-site

Review and analyze test data, including airflow, temperature, pressure, and system responses, to ... Regular full-time and part-time employees (working at least 20 hours per week) have access to ...

Quality Agents, LLC

Validation Intern

Rockville, MD · On-site

$35/hr

Help review and organize validation data and test results. * Participate in troubleshooting and ... Pharmaceutical & Biotechnology Internship Type: Part-Time or Full-Time, Paid Internship Duration: 2 ...

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How much do part time drg validation reviewer jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for part time drg validation reviewer in the United States is $52.00, according to ZipRecruiter salary data. Most workers in this role earn between $39.42 and $63.22 per hour, depending on experience, location, and employer.

What is a Part Time DRG Validation Reviewer?

A Part Time DRG Validation Reviewer is a healthcare professional responsible for reviewing medical records and validating the assignment of Diagnosis-Related Groups (DRGs) to ensure accurate hospital billing and compliance with regulations. They typically work with coding and clinical documentation to verify that the DRG codes assigned to patient records reflect the appropriate levels of care and diagnoses. Working part-time, these reviewers often collaborate with coding staff, physicians, and compliance teams to ensure accuracy and reduce the risk of billing errors or audits. This role requires a strong understanding of medical coding, healthcare reimbursement systems, and relevant regulations.

What are the key skills and qualifications needed to thrive as a Part Time DRG Validation Reviewer, and why are they important?

To thrive as a Part Time DRG Validation Reviewer, you need a solid background in medical coding, clinical documentation, and healthcare regulations, typically supported by a credential such as RHIA, RHIT, or CCS. Familiarity with coding software, electronic health records (EHRs), and DRG validation tools is essential. Strong analytical skills, attention to detail, and effective communication are crucial soft skills for ensuring accuracy and collaborating with healthcare teams. These skills and qualifications are vital to ensure compliance, optimize reimbursement, and maintain the integrity of clinical data in healthcare organizations.

What is the difference between Part Time Drg Validation Reviewer vs Part Time Medical Coding Specialist?

AspectPart Time Drg Validation ReviewerPart Time Medical Coding Specialist
CredentialsTypically requires coding certifications and knowledge of DRG systemsRequires medical coding certifications like CPC or CCS
Work EnvironmentHospitals, insurance companies, or healthcare facilitiesHospitals, clinics, or coding service companies
Industry UsageUsed mainly in inpatient billing and reimbursementUsed across various healthcare settings for billing and documentation
Job FocusValidating DRG assignments for accuracy and complianceAssigning appropriate medical codes based on patient records

While both roles involve medical coding and require relevant certifications, the Part Time Drg Validation Reviewer focuses on validating DRG assignments for inpatient stays, ensuring proper reimbursement. The Part Time Medical Coding Specialist primarily assigns medical codes to patient records for billing purposes. Both roles are essential in healthcare revenue cycle management but differ in their specific responsibilities and focus areas.

What are some common challenges faced by Part Time DRG Validation Reviewers, and how can they be addressed?

Part Time DRG Validation Reviewers often encounter challenges such as keeping up with frequent updates to coding guidelines and payer requirements, as well as managing a fluctuating caseload within limited hours. Staying current with continuing education and regularly reviewing official resources can help address these issues. Additionally, collaborating with coding teams and clinical staff can clarify ambiguities and improve accuracy, making the review process more efficient and less stressful.
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Part Time Drg Validation Reviewer jobs near you
Infographic showing various Part Time Drg Validation Reviewer job openings in the United States as of July 2026, with employment types broken down into 33% Internship, 1% As Needed, 50% Full Time, 3% Part Time, 1% Contract, and 12% Summer. Highlights an 73% Physical, 1% Hybrid, and 26% Remote job distribution, with an average salary of $108,152 per year, or $52 per hour.

Professional Review Nurse

CorVel Healthcare Corporation

Folsom, CA • Remote

$70K - $85K/yr

Full-time, Part-time

Posted 25 days ago

Job description

The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care.

This is a remote position in CA.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and/or direct reporting manager
  • Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans
  • Utilize clinical and/or technical expertise to address the provision of medical care and identify inappropriate billing practices and errors, such as: duplicate billing, unbundling of charges, services not rendered, mathematical and data entry errors, undocumented services, reusable instrumentation, unused services and supplies, unrelated and/or separated charges, quantity and time increment discrepancies, inconsistencies with diagnosis, treatment frequency and duration of care, DRG validation, service/treatment vs. scope of discipline, use of appropriate billing protocols, etc.
  • Document work and final conclusions in designated computer program
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Concise and effective verbal and written communication skills
  • Ability to interface with claims adjusters, attorneys, physicians and their representatives, advisors/clients, and co-workers
  • Ability to effectively promote all Professional Review products with attorneys, claims examiners, customers and management
  • Strong ability to effectively negotiate provider fees
  • Must be proficient with Microsoft Office applications
  • Knowledge of worker's compensation claims preferred

EDUCATION & EXPERIENCE:

  • Must maintain current licensure as a Registered Nurse in the state of employment with a minimum of 4 years clinical experience
  • A minimum of an Associate Degree in Nursing as well as have a thorough knowledge of both C.P.T. and I.C.D.9 codes preferred
  • Medical bill auditing experience preferred
  • Experience in the clinical areas of O.R., I.C.U., C.C.U., E.R., and orthopedics preferred
  • Prospective, concurrent and retrospective utilization review experience preferred

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $70,304 – $85,473

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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