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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 ...

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

As of Jul 31, 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.

Inpatient Coding Auditor

Sage Clinical RCM, LLC

Saint Petersburg, FL • On-site

$26 - $29.50/hr

Full-time, Part-time, Per diem

Re-posted 19 days ago

Job description

Description:

Role Summary

Responsible for reviewing inpatient coding to validate accuracy, compliance, and documentation support. This role identifies risks, ensures consistency in DRG assignment, and provides actionable feedback to improve coding quality.


Core Responsibilities

  • Perform retrospective and/or concurrent audits of inpatient coding.
  • Validate ICD-10-CM/PCS code assignment and MS-DRG/APR-DRG accuracy.
  • Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies.
  • Identify trends, risks, and opportunities for coding improvement.
  • Provide clear, actionable audit feedback and education to client & internal coding staff.
  • Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.
Requirements:

Minimum Qualifications

  • Credentials: CCS, RHIA, or RHIT (active).
  • Experience: Minimum 3+ years of inpatient coding and at least 2 years of auditing experience. In lieu of auditing experience, 7+ years of coding experience is required.
  • Skills & Knowledge: Strong knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG assignment, and Coding Clinic guidance. Strong analytical and written communication skills.

Client & Specialty Alignments

  • Specialty Expectations: Strong understanding of methodologies to validate documentation impacting severity, risk, and reimbursement. Experience auditing across complex, multi-diagnosis inpatient cases and knowledge of documentation requirements impacting DRG shifts.

Work Model & Employment Tracks

  • Work Model: 100% remote, independent, quality-focused work environment with collaboration across coding, audit, CDI, and client teams.
  • Full-Time (FT): Standard production aligned to client or project needs.
  • Part-Time / PRN / Project-Based: Flexible support for backlog, specialty coverage, or targeted initiatives.
  • Note: Some positions may require evening or weekend coverage based on client needs or project scope.

Client & Specialty Alignments

  • BayCare Requirements: 5+ years inpatient coding experience required, with experience in larger, complex hospital environments strongly preferred. Must demonstrate consistent performance at established productivity and quality benchmarks.
  • Emory Requirements: 5+ years inpatient coding experience required. Strong emphasis on coding accuracy, consistency, and adherence to client-specific guidelines and documentation standards.

Why Sage Clinical RCM

  • National exposure to diverse, high-acuity health systems and specialties.
  • Quality-first culture with realistic expectations (not volume-only).
  • Flexible work options (FT, PT, and PRN).
  • Opportunity to expand into other audit, education, and advisory services.