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Remote Clinical Validation Jobs (NOW HIRING)

Remote within the US only Schedule: Full-time,Monday - Friday JOB SUMMARY: As a DRG Downgrade ... validation DRG Downgrade denials. * Constructs and documents a succinct and fact-based clinical ...

New

Remote within the US only Schedule: Full-time, Monday - Friday JOB SUMMARY: As a DRG Downgrade ... validation DRG Downgrade denials. * Constructs and documents a succinct and fact-based clinical ...

... remote clinical sessions. Key Responsibilities: * Conduct comprehensive speech and language ... Valid licensure as a Speech-Language Pathologist. * Experience with telespeech delivery in ...

Senior AI Product Manager

Danville, PA · On-site +1

$144K - $191K/yr

Ensure AI products meet clinical validation requirements and are ready for frontline use, working ... an office or remote environment. Accountable for satisfying all job specific obligations and ...

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Remote Clinical Validation information

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How much do remote clinical validation jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for remote clinical validation 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 remote clinical validation?

Remote clinical validation is the process of reviewing and confirming the accuracy of clinical documentation, coding, and diagnoses from a remote location. Professionals in this role typically work off-site to ensure that patient records meet regulatory standards and support appropriate billing and quality care. They collaborate with healthcare providers, often leveraging secure technology, to clarify documentation and provide feedback. This role is essential in maintaining data integrity, supporting compliance, and optimizing reimbursement for healthcare organizations.

What is the difference between Remote Clinical Validation vs Remote Clinical Data Analyst?

AspectRemote Clinical ValidationRemote Clinical Data Analyst
Required CredentialsClinical certifications, healthcare backgroundData analysis certifications, statistical skills
Work EnvironmentHealthcare settings, research organizationsResearch firms, healthcare companies, biotech
Employer & Industry UsagePharmaceuticals, clinical researchHealthcare, biotech, research institutions
Common Search & ComparisonYesNo

Remote Clinical Validation focuses on verifying clinical data accuracy and compliance, requiring healthcare and clinical certifications. Remote Clinical Data Analysts analyze datasets to derive insights, often with strong statistical skills. While both roles support clinical research, they differ in credentials and daily tasks, making them distinct career paths within the healthcare industry.

What are the key skills and qualifications needed to thrive as a Remote Clinical Validation Specialist, and why are they important?

To thrive as a Remote Clinical Validation Specialist, you need a solid background in clinical coding, healthcare regulations, and medical terminology, often supported by an RHIA, RHIT, or CCS credential. Familiarity with electronic health record (EHR) systems, clinical documentation improvement (CDI) software, and coding tools is essential. Strong analytical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These competencies ensure the accuracy of clinical data, regulatory compliance, and optimal reimbursement for healthcare organizations.

What are some common challenges faced by professionals in remote clinical validation roles, and how can they be addressed?

Remote clinical validation professionals often encounter challenges such as limited direct access to healthcare teams, navigating electronic health records from afar, and maintaining compliance with changing regulations. Effective communication and strong organizational skills are essential to collaborate remotely with physicians, coders, and other healthcare staff. Utilizing secure collaboration tools, staying updated on coding guidelines, and participating in regular training sessions can help overcome these obstacles and ensure the accuracy and integrity of clinical data.
More about Remote Clinical Validation jobs
What cities are hiring for Remote Clinical Validation jobs? Cities with the most Remote Clinical Validation job openings:
What are the most commonly searched types of Clinical Validation jobs? The most popular types of Clinical Validation jobs are:
What states have the most Remote Clinical Validation jobs? States with the most job openings for Remote Clinical Validation jobs include:
Infographic showing various Remote Clinical Validation job openings in the United States as of May 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% Remote job distribution, with an average salary of $108,152 per year, or $52 per hour.
Clinical RN Specialist

Full-time

Posted 2 days ago


CorroHealth rating

8.1

Company rating: 8.1 out of 10

Based on 27 frontline employees who took The Breakroom Quiz

84th of 425 rated business services


Job description

About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
At CorroHealth our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
This is a remote position.
Location: Remote within the US only
Schedule: Full-time,Monday - Friday
JOB SUMMARY:
As a DRG Downgrade Appeals Clinician, (DRG downgrade experience is mandatory) you will have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor. You will perform retrospective clinical case reviews and draft appeals that focus on establishing the Medical Necessity of diagnosis in question by the payor or 3rd party audit firm.
Essential Duties and Responsibilities:
  • Performs retrospective medical necessity reviews to determine appeal eligibility of clinical validation DRG Downgrade denials.
  • Constructs and documents a succinct and fact-based clinical case to support appeal utilizing appropriate medical necessity criteria and other pertinent clinical facts.
  • Pertinent clinical facts include, but are not limited to, documenting that the clinical criteria utilized in diagnosing the patient was appropriate.
  • Adheres to all coding and clinical documentation guidelines as endorsed by ACDIS and AHIMA.

Minimum Qualifications & Competencies:
  • RN or MD degree with strong clinical knowledge - Active unrestricted clinical license in at least one state within the United States.
  • DRG downgrade experience is mandatory.
  • Certified in coding through either the AAPC (CPC/COC) or AHIMA (CCS/CCS-P)
  • Minimum of 5 years recent acute-care hospital experience, preferred.
  • Minimum of 2 years Utilization Review / Case Management experience within the last 5 years.
  • Must have excellent written communication skills and be computer proficient.

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member's function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

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