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Remote Drg Validation Reviewer Jobs (NOW HIRING)

MedReview

DRG Clinical Validation Nurse

New York, NY · Remote

$85K - $95K/yr

Must be able to interpret clinical guidelines/criteria and apply to clinical review * Solid ... Ability to use Windows PC with the ability to utilize multiple applications at the same time Remote ...

MedReview

DRG Clinical Validation Nurse

Manhattan, NY · On-site +1

$85K - $95K/yr

Must be able to interpret clinical guidelines/criteria and apply to clinical review * Solid ... Ability to use Windows PC with the ability to utilize multiple applications at the same time Remote ...

Zelis

Inpatient DRG Reviewer

Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the ...

CorroHealth

DRG Revenue Integrity Auditor - REMOTE

This is a remote position** ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and ... Perform detailed DRG validation reviews of inpatient charts. * Ensure assigned ICD-10-CM/PCS codes ...

EnableComp

DRG Auditor (REMOTE)

OR · Remote

$28 - $31.75/hr

Position Summary The DRG Auditor is responsible ... for reviewing post-billed inpatient claims to identify and validate missed reimbursement ...

New

EnableComp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$28 - $31.75/hr

Position Summary The DRG Auditor is responsible ... for reviewing post-billed inpatient claims to identify and validate missed reimbursement ...

New

EnableComp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$27 - $30.50/hr

Position Summary The DRG Auditor is responsible ... for reviewing post-billed inpatient claims to identify and validate missed reimbursement ...

New

EnableComp

DRG Auditor (REMOTE)

OR · Remote

$27.25 - $31/hr

Position Summary The DRG Auditor is responsible ... for reviewing post-billed inpatient claims to identify and validate missed reimbursement ...

New

TEEMA Group

Sr. Inpatient Clinical Coder

Yuma, AZ · Remote

$80K - $90K/yr

Perform DRG validation and retrospective medical claims reviews * Analyze inpatient and outpatient ... Remote (must reside in an approved state) Full-time position * Independent home office work ...

TEEMA Group

$80K - $90K/yr

Perform DRG validation and retrospective medical claims reviews * Analyze inpatient and outpatient ... Remote (must reside in an approved state) Full-time position * Independent home office work ...

Astrana Health, Inc.

$33 - $38/hr

Review inpatient hospital records and assign accurate diagnosis and procedure codes * Determine the ... Conduct coding validation and auditing to ensure compliance with payer and regulatory requirements

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Remote Drg Validation Reviewer information

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How much do remote drg validation reviewer jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote 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 the difference between Remote Drg Validation Reviewer vs Remote Medical Coder?

AspectRemote Drg Validation ReviewerRemote Medical Coder
CredentialsTypically requires coding certification and knowledge of DRG systemsRequires medical coding certification (e.g., CPC, CCS)
Work EnvironmentHealthcare facilities, insurance companies, or remote healthcare teamsHospitals, clinics, or remote coding companies
Industry UsageUsed mainly in hospital billing and reimbursement validationUsed in medical billing, coding, and documentation
Search/Comparison IntentOften compared for roles involving coding and validation of diagnosesCompared for coding accuracy and documentation review roles

The Remote Drg Validation Reviewer and Remote Medical Coder roles both require coding certifications and work within healthcare settings. However, the reviewer focuses on validating DRG assignments for reimbursement, while the coder primarily translates medical documentation into codes. Both roles are essential in healthcare billing but differ in their specific responsibilities and focus areas.

More about Remote Drg Validation Reviewer jobs
What cities are hiring for Remote Drg Validation Reviewer jobs? Cities with the most Remote Drg Validation Reviewer job openings:
What are the most commonly searched types of Drg Validation Reviewer jobs? The most popular types of Drg Validation Reviewer jobs are:
What states have the most Remote Drg Validation Reviewer jobs? States with the most job openings for Remote Drg Validation Reviewer jobs include:
What job categories do people searching Remote Drg Validation Reviewer jobs look for? The top searched job categories for Remote Drg Validation Reviewer jobs are:
Remote Drg Validation Reviewer jobs near you
Infographic showing various Remote Drg Validation Reviewer job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 3% Part Time, 1% Temporary, and 6% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $108,152 per year, or $52 per hour.

DRG Clinical Validation Nurse

MedReview

New York, NY • Remote

$85K - $95K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 28 days ago

Job description

Position Summary
At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare.  As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. We are seeking a registered nurse with experience in clinical validation to work within our coding department.  
Candidate should be highly motivated, with strong clinical and coding background. This individual must have excellent communication skills and an analytical mindset to achieve and maintain high-level performance in a fast-paced environment.
This is a fulltime position (40 hours per week) Monday – Friday. You’ll enjoy the flexibility to telecommute from anywhere within the United States. Training will be conducted virtually from your home.
If you are interested in this role with MedReview, please let us know. Here is what we are searching for:
Responsibilities:
 
  • Perform clinical validation by ensuring diagnosis codes billed by the provider are supported within the medical record
  • Must be able to interpret clinical guidelines/criteria and apply to clinical review
  • Solid understanding of anatomy and physiology, diagnostic and surgical procedures developed from specialized training and extensive experience with ICD-10-PCS code assignments
  • Demonstrates the ability to accurately interpret the medical record
  • Writes clear, accurate and concise rationales in support of findings
  • Maintains and manages case reviews with a high emphasis on quality
  • Demonstrates the ability to work in a high – volume production environment
  • Knowledge of health insurance business, industry terminology, and regulatory guidelines 

Qualifications:
 
  • Minimum of two years’ experience in clinical validation in a payment integrity setting required
  • May consider nurses with inpatient claims auditing experience or case management experience.
  • Unrestricted Registered Nurse with active RN licensure required
  • CCS (Certified Coding Specialist) or CIC (Certified Inpatient Coder) certification preferred
  • CCDS or CDIP Certification preferred
  • Knowledge of ICD-10 coding
  • Basic Knowledge of DRG validation and coding
  • Ability to use Windows PC with the ability to utilize multiple applications at the same time

Remote Work Requirements
 
  • High speed internet (100 Mbps per person recommended) with secured WIFI.
  • A dedicated workspace with minimal interruptions to protect PHI and HIPAA information.
  • Must be able to sit and use a computer keyboard for extended periods of time.

Benefits and perks include:
 
  • Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents.
  • 401(k) with Employer Match - Join the team and we will invest in your future
  • Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, to observe holidays.
  • Wellness - We care about your well-being. From Commuter Benefits to FSAs, we’ve got you covered.
  • Learning & Development - Through continued education/mentorship on the job and our investment in LinkedIn Learning, we’re focused on your growth as a working professional.

Salary Rate: $85,000 – 95,000/Annually.
 

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