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Part Time Drg Validation Reviewer Jobs (NOW HIRING)

... CM/PCS, CPT/HCPCS, DRG/APRDRG, and/or other coding, classification, and/or payment systems ... CODING SPECIALIST (PART-TIME) Additional Considerations Organizational "Fit" Considerations:

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 ...

Commissioning Validation Specialist

Austin, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Commissioning Validation Specialist

San Antonio, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Commissioning Validation Specialist

Houston, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

This role will be a part-time position. The Utilization Review Advisor (Advisor) position conducts ... DRG assignments * Familiarity with standard published leveling criteria such as MCG/Interqual and ...

... III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also validates MS-DRG and APC calculations, abstracts clinical data, mitigates ...

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Part Time Drg Validation Reviewer information

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

As of Aug 13, 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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Infographic showing various Part Time Drg Validation Reviewer job openings in the United States as of August 2026, with employment types broken down into 100% Part Time. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $108,152 per year, or $52 per hour.

(RN) Registered Nurse Coding Auditor - HCS-D, COS-C

Northwell Health

Garden City, NY • On-site

$90K - $145K/yr

Part-time

Posted 4 days ago


Northwell Health rating

7.8

Company rating: 7.8 out of 10

Based on 564 frontline employees who took The Breakroom Quiz

130th of 887 rated healthcare providers


Job description


Job Description
Validates Acute Inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the Medical Record.
Seeking RN candidates with a HCS-D - Home Care Coding Specialist-Diagnosis, COS-C Certificate for OASIS Specialist-Clinical.
Remote position in New York.
Job Responsibility
1.Leverages clinical expertise to identify and validate DRG code assignment.
2.Full review of CDI suggested code changes
3.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
4.Audits and reviews Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with Federal and State regulations.
5.Applies coding rules and regulations to the validation review process.
6.Reviews codes on Medicare/non-Medicare charts for compliance to rules and conventions.
7.Communicates DRG changes and rationale to the coding and CDI staff.
8.Identifies appropriate coding changes necessary to provide the most valid documentation in compliance with Federal and State regulations.
9.Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
10.Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
11.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
1.Graduate from an accredited School of Nursing.
Bachelor's Degree in Nursing, required, or equivalent combination of education and related experience.
2.Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
*Prior CHHA Nursing experience strongly preferred.
*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

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