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Remote Drg Validation Jobs (NOW HIRING)

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 ...

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 ...

CorroHealth

DRG Revenue Integrity Auditor

$28 - $31.75/hr

Responsible for validating proper sequencing and accuracy of ICD-10-CM/PCS codes, POA assignments ... This is a remote position** ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and ...

OU Health

Inpatient Coding Auditor

$28 - $31.75/hr

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their ... At least 1 year of Inpatient Facility Coding Auditing or DRG Validation with a minimum of 5 years ...

PF Concepts

Inpatient Coding Auditor

Paterson, NJ · Remote

$40 - $44/hr

Remote Job Summary: The Inpatient Coding Auditor is responsible for auditing inpatient coding and ... DRG validation experience preferred. * Expert knowledge of ICD-10-CM, ICD-10-PCS, MS-DRGs, POA, CC ...

CERiS

Clinical Review QC Auditor

$68K - $104K/yr

... for performing DRG validation (clinical/coding) reviews of medical records and/or other ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to ...

Corvel

Clinical Review QC Auditor

Fort Worth, TX · On-site +1

$68K - $104K/yr

... for performing DRG validation (clinical/coding) reviews of medical records and/or other ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to ...

CERiS

Clinical Review QC Auditor

Fort Worth, TX · On-site +1

$68K - $104K/yr

... for performing DRG validation (clinical/coding) reviews of medical records and/or other ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to ...

Corvel

Clinical Review QC Auditor

$68K - $104K/yr

... for performing DRG validation (clinical/coding) reviews of medical records and/or other ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to ...

CERiS

Clinical Review QC Auditor

Fort Worth, TX · Remote

$68K - $104K/yr

... for performing DRG validation (clinical/coding) reviews of medical records and/or other ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to ...

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Remote Drg Validation information

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How much do remote drg validation jobs pay per hour?

As of Jul 6, 2026, the average hourly pay for remote drg validation in the United States is $26.09, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $30.53 per hour, depending on experience, location, and employer.

What are some common challenges faced by professionals in remote DRG validation, and how can they be managed?

Remote DRG (Diagnosis-Related Group) validation specialists often encounter challenges such as limited access to on-site medical records, ensuring data security, and maintaining clear communication with hospital staff. To manage these, professionals use secure remote access systems, adhere to strict HIPAA guidelines, and establish regular virtual meetings with clinical teams. Staying organized, leveraging reliable coding software, and participating in ongoing education are also key strategies for overcoming obstacles and maintaining high accuracy in DRG validation.

What is remote DRG validation?

Remote DRG (Diagnosis-Related Group) validation is the process of reviewing and verifying the accuracy of DRG assignments in patient medical records from a remote location. This typically involves examining clinical documentation and coding to ensure that the assigned DRGs reflect the patient's diagnoses and treatments, which impacts hospital reimbursement and compliance. Remote DRG validators use secure digital systems to access records, allowing them to perform their work without being physically present at the healthcare facility. Accurate DRG validation helps prevent billing errors, reduce audit risks, and supports proper compensation for healthcare providers.

What are the key skills and qualifications needed to thrive as a Remote DRG Validator, and why are they important?

To thrive as a Remote DRG Validator, you need a strong background in medical coding, clinical documentation improvement, and thorough knowledge of DRG (Diagnosis-Related Group) methodologies, typically supported by credentials such as RHIA, RHIT, or CCS. Proficiency with coding software, electronic health records (EHRs), and DRG validation tools is essential. Attention to detail, analytical thinking, and effective communication are important soft skills for accurately reviewing records and collaborating with healthcare teams. These skills ensure accurate reimbursement, regulatory compliance, and improved healthcare data quality.
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Remote Drg Validation jobs near you
Infographic showing various Remote Drg Validation job openings in the United States as of June 2026, with employment types broken down into 74% Full Time, and 26% Part Time. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $54,267 per year, or $26.1 per hour.

Sr. Inpatient Clinical Coder

TEEMA Group

Remote

$80K - $90K/yr

Full-time

Posted 14 days ago

Job description

Role Summary

The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services.

In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical professional who thrives in a fast-paced, remote environment and is passionate about accuracy, compliance, and continuous improvement in healthcare operations.

Duties & Responsibilities

  • Serve as a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding

  • Perform DRG validation and retrospective medical claims reviews

  • Analyze inpatient and outpatient claims for coding accuracy and reimbursement determinations

  • Prepare clear, detailed determination letters and written review outcomes

  • Identify coding discrepancies, potential fraud, and quality concerns

  • Provide training, mentorship, and guidance to clinical coding staff

  • Collaborate with cross-functional teams to support coding inquiries and review findings

  • Research and apply medical policies, benefits, limitations, and current coding guidelines

  • Ensure timely completion of coding reviews in alignment with performance standards

  • Maintain accurate and thorough documentation within medical management and claims systems

  • Escalate complex or high-risk cases to the Medical Director as appropriate

Required Qualifications

  • High School Diploma or GED

  • Active credential in one of the following:

    • Certified Inpatient Coder (CIC)

    • Certified Coding Specialist (CCS)

    • Registered Health Information Technician (RHIT)

  • Minimum of five (5) years of clinical coding experience (facility and/or professional)

  • Minimum of three (3) years of inpatient and/or outpatient claims processing experience

  • Experience working in a fast-paced, production-driven environment

  • Ability to obtain and maintain a favorable background investigation

  • U.S. Citizenship required

Desired Qualifications

  • Experience within managed care, health insurance, or private healthcare industry

  • Familiarity with government healthcare programs and regulatory guidelines

  • Advanced expertise in inpatient facility coding and DRG validation

  • Strong analytical, critical thinking, and problem-solving skills

  • High attention to detail with strong organizational capabilities

  • Ability to manage large volumes of complex information independently

  • Effective communication and collaboration across multidisciplinary teams

  • Proficiency in Microsoft Word, Excel, and multi-system environments

Location & Work Type

100% Remote (must reside in an approved state)
Full-time position

  • Independent home office work environment required

  • Prolonged computer use and sitting required

  • Flexibility to support varying work schedules as needed