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Remote Drg Analyst Jobs (NOW HIRING)

MMC Group

DRG Auditor

San Antonio, TX · Remote

... remote DRG Validation Auditors. As members of the DRG Validation Team and working remotely ... strong data analysis skills * Working knowledge of computer functions and applications such as ...

Jzanus Consulting

DRG Validator- Remote

Garden City, NY · Remote

$85K/yr

Responsible and self-sufficient with strong analytical and research skills. Must be able to meet or ... Remote Experience: ICD coding: 5 years (Required) License/Certification:AHIMA Certification ...

EnableComp

DRG Validator/Reviewer (REMOTE)

Franklin, TN · Remote

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and ...

New

EnableComp

DRG Validator/Reviewer (REMOTE)

Franklin, TN · Remote

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and ...

New

EnableComp

DRG Validator/Reviewer (REMOTE)

OR · Remote

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and ...

New

EnableComp

DRG Validator/Reviewer (REMOTE)

OR · Remote

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and ...

New

EnableComp

DRG Validator/Reviewer (REMOTE)

Position Summary The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient ... Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and ...

New

MedReview

DRG Reviewer

Manhattan, NY · On-site +1

$85K - $90K/yr

Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to ... Remote Work Requirements: * High speed internet (100 Mbps per person recommended) with secured WIFI.

MedReview

DRG Reviewer

Manhattan, NY · Remote

Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to ... Remote Work Requirements: * High speed internet (100 Mbps per person recommended) with secured WIFI.

CorroHealth

DRG Revenue Integrity Auditor - REMOTE

Enabling our teams with leading technology allows analytics to guide our solutions and keeps us ... The DRG Revenue Integrity Auditor (DRG - A) performs Diagnostic Related Group (DRG) validation and ...

LCMC Health

Lead Inpatient DRG Coder - Remote

New Orleans, LA · On-site +1

$20.75 - $25.25/hr

Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and ... Strong analytical abilities and problem-solving skills. * Excellent oral, written and interpersonal ...

LCMC Health

$20.75 - $25.25/hr

Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and ... Strong analytical abilities and problem-solving skills. * Excellent oral, written and interpersonal ...

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How much do remote drg analyst jobs pay per year?

As of Jul 31, 2026, the average yearly pay for remote drg analyst in the United States is $73,261.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $87,000.00 per year, depending on experience, location, and employer.
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Remote Drg Analyst jobs near you

DRG Auditor

MMC Group

San Antonio, TX • Remote

Full-time

Re-posted 11 days ago

Job description


Job Description:

A leader in providing clinical auditing services to public and commercial healthcare payers throughout the US, has openings for remote DRG Validation Auditors. As members of the DRG Validation Team and working remotely, incumbents will be responsible for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries of various health plans, including Commercial, Medicare, and Medicaid Clients. DRG Validation Auditors are charged with rendering appropriate, well-supported, and thoroughly-documented decisions, which may result in identification of improper payments (overpayments and underpayments) on paid claims on behalf of the client from various providers of clinical services, including but not limited to acute care, long-term acute care, acute rehabilitation, and skilled nursing facilities, as well as other provider types and care settings. Initially, DRG Validation Auditors are prepared for the role through a detailed, well-defined training process, gaining knowledge and skills in methods for review of medical records and other provider documentation. Ongoing training and education are provided specific to audit processes, coding and reimbursement changes, and other topics as well. The DRG Validation Auditor reports to a DRG Validation Team Leader, who provides support, feedback, and guidance to DRG Validation Auditors. Moreover, quality assurance is provided through a well-defined review and quality management program performed by the Professional Development Team.


Specifically, DRG Validation Auditors will be responsible for the following:


  • Review inpatient medical records to validate the admit order, assignment and sequencing of ICD9-CM diagnosis and procedure codes, discharge status codes, and DRG assignment.

  • Provide a detailed rationale for every medical record review resulting in a DRG Review Results letter, including supporting references.

  • Follow proper procedure for referral to Clinical Nurse Auditor or Physician Advisor.

  • Utilize proper reference material, standards, and guidelines for coding.

  • Provide input to the Edit Development team on claims selection criteria.

  • Verify data received from client and work to resolve discrepancies.

  • If the contract requires onsite review, interact with Providers and other personnel in a professional manner.

  • Follow policies and processes

  • Comply with department standards regarding productivity and audit quality.

  • Perform other duties as assigned.



To be considered for these challenging roles, applicants must have a majority of the following skills, knowledge and abilities:


  • Possess current AHIMA credentials (RHIT/RHIA/CCS), with current CCS preferred

  • Demonstrate extensive knowledge of ICD-9-CM coding and DRG reimbursement, with a minimum of five years of inpatient coding experience

  • Have an understanding of Medicare, Medicaid, and commercial provider reimbursement methodologies, and possess strong data analysis skills

  • Working knowledge of computer functions and applications such as Microsoft Office (Outlook, Word, Excel) and Windows operating systems

  • Ability to write a well-reasoned review in a narrative style, with accurate spelling, grammar, punctuation, and sentence structure

  • Ability to adapt to changing priorities in order to meet Client requirements and productivity standards and deadlines

  • Ability to travel for additional training and on-site reviews on an as-needed basis

  • Since incumbents will work from their home-based offices, they must have their own access to high-speed Internet connectivity