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Remote Drg Validation Jobs (NOW HIRING)

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 ...

Corrohealth

DRG Revenue Integrity Auditor

OR · Remote

$27.25 - $31/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 ...

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 ...

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 ...

Corvel

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 ...

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 ...

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 ...

Dane Street, LLC

Utilization Review Physician

DRG validation and clinical review * Benefit and coverage determinations * Experimental ... Remote work from home * Full-time, Monday-Friday * Availability for occasional weekends and holiday ...

Clover Health

Inpatient Coder Associate, Payment Integrity

$22.25 - $26.75/hr

... DRG validation. * By 6 months, you will be working autonomously to execute within our clinical ... Additionally, we embrace a remote-first culture that supports collaboration and flexibility ...

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How much do remote drg validation jobs pay per hour?

As of Jun 10, 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
Medical Director Clinical Review / Remote

Medical Director Clinical Review / Remote

RCM Health Care Services

New York, NY • On-site, Remote

$220K - $230K/yr

Full-time

Medical, Retirement, PTO

Posted 13 days ago

Job description

Job Description
Clinical Review Medical Director (Remote)
Compensation and Benefits
Salary:
  • $220,000 - $230,000
  • Full benefits + 401(k) match
  • Generous PTO
  • Strong work-life balance

Location:
  • Remote | Full-Time

Position Summary
A growing healthcare organization is seeking a Clinical Review Medical Director to support DRG validation, utilization review, and peer review activities in a fully remote setting.
Responsibilities
Key Duties:
  • Perform DRG clinical validation reviews
  • Review readmissions and level of care cases
  • Support UM (initial & appeals) and peer review activities
  • Develop clear, evidence-based clinical rationales
  • Contribute to quality initiatives and reviewer training

Qualifications
Licenses and Certification:
  • MD or DO with active U.S. license
  • Board certified

Skills:
  • Perform DRG clinical validation reviews
  • Review readmissions and level of care cases
  • Support UM (initial & appeals) and peer review activities
  • Develop clear, evidence-based clinical rationales
  • Contribute to quality initiatives and reviewer training

About Us
RCM Healthcare Services' mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates reach their career and life goals. We proudly hold the Joint Commission Gold Seal of Approval as well.
Equal Employment Opportunity & Reasonable Accommodation RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.

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