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Remote Drg Validation Reviewer Jobs (NOW HIRING)

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 ...

MedReview

DRG Clinical Validation Nurse

Manhattan, NY · Remote

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 ...

Ensemble Health Partners

$69K - $104K/yr

Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding ... This is a remote position; however, candidates must be willing and able to travel to and work ...

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 ...

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 ...

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 ...

Zelis

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 ...

Ensemble Health Partners

$69K - $104K/yr

Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding ... This is a remote position; however, candidates must be willing and able to travel to and work ...

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 ...

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 ...

EnableComp

DRG Auditor (REMOTE)

$28 - $31.75/hr

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

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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 Sep 2, 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.

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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 93% Full Time, 3% Part Time, and 4% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution, with an average salary of $108,152 per year, or $52 per hour.

RN, DRG Coder / Clinical Auditor

Pivotal Placement Services

Tucson, AZ • Remote

$90K - $104K/yr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

RN, DRG Coder / Clinical Auditor
Must be a Registered Nurse with experience

Remote | Full-Time | Healthcare | Clinical Documentation & Coding

About the Role

We’re seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records and documentation. This role ensures accurate coding and clinical support for DRG assignments, helping improve billing accuracy, reimbursement, and compliance. You’ll work independently to review records, validate coding, and communicate findings clearly and professionally.

Key Responsibilities

  • Chart Review & Validation
    Review medical records to validate DRG assignments and ensure clinical documentation supports coding decisions.

  • Physician Documentation Review
    Confirm that physician notes and clinical indicators support assigned DRGs.

  • Audit & Compliance
    Conduct audits to verify coding accuracy, enhance reimbursement, and identify cost-saving opportunities.

  • Coding Expertise
    Apply ICD-10-CM and PCS coding guidelines, payer rules, and regulatory standards (Medicare, Medicaid, CMS).

  • Communication & Reporting
    Clearly document findings and communicate results in a professional and concise manner.

  • Other Duties
    Support additional documentation and coding-related tasks as assigned.

Qualifications
  • Licensure: RN
  • Experience:
    • Minimum 1 year of recent DRG auditing experience in a hospital or health plan setting.
    • Inpatient ICD-10 coding experience required.
    • CDI candidates are encouraged to apply.
  • Certifications:
    • National coding certification through AHIMA (preferred) or AAPC.
    • CCS or CIC strongly preferred.
  • Technical Skills:
    • Proficient in MS and APR DRG methodology.
    • Familiarity with Coding Clinic citations and Official Coding Guidelines.
    • Strong understanding of Medicare/CMS documentation requirements.
  • Soft Skills:
    • Exceptional attention to detail.
    • Strong problem-solving and critical thinking abilities.
    • Effective verbal and written communication.
    • Ability to work independently in a fast-paced, production-driven environment.
  • Tools:
    • Proficient in Microsoft Office Suite.
Compensation

Pay Range: $90,000 – $104,841
Salary is based on location, experience, qualifications, and internal equity. Final compensation may vary depending on assessment during the interview process.

Who We Are

Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm that specializes in placing healthcare professionals—from staff to leadership—with both clinical and non-clinical employers. Our comprehensive and customer-focused workforce solutions include Direct Placement and Managed Service Provider (MSP) / Vendor Managed Services (VMS) engagements nationwide.