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Remote Drg Validator Jobs (NOW HIRING)

She Recruits LLC

Inpatient Coder - Remote

$22.25 - $26.75/hr

Inpatient Coder (Remote) Full-time • Work From Home Must have CCS, RHIA, or RHIT certification ... A CIS III performs coding and/or code/DRG validation across multiple entities by applying all ...

Healthcare

Clinical Documentation Specialist (CDI)

$35.50 - $47.75/hr

... DRG validator Do you have knowledge of the Solventum HIS software portfolio (e.g., 360 Encompass ... Remote-United States Travel: May include up to 10% [domestic/international] Relocation Assistance:

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 ...

Solventum

Clinical Documentation Specialist (CDI)

$35.50 - $47.75/hr

... DRG validator Do you have knowledge of the Solventum HIS software portfolio (e.g., 360 Encompass ... Remote-United States Travel: May include up to 10% [domestic/international] Relocation Assistance:

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 ...

Machinify

DRG QA and Trainer

$85K - $95K/yr

... clinical validation guidelines. * Provide constructive, detailed feedback to DRG Reviewers ... Proven success in a remote working environment * Proficient in Windows office systems, including ...

Machinify

DRG QA and Trainer

$85K - $95K/yr

... clinical validation guidelines. * Provide constructive, detailed feedback to DRG Reviewers ... Proven success in a remote working environment * Proficient in Windows office systems, including ...

OU Health

Inpatient Coding Auditor WFH

$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 ...

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Remote Drg Validator information

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How much do remote drg validator jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for remote drg validator in the United States is $27.67, according to ZipRecruiter salary data. Most workers in this role earn between $21.63 and $33.17 per hour, depending on experience, location, and employer.

What is the difference between Remote Drg Validator vs Remote Medical Coder?

AspectRemote Drg ValidatorRemote Medical Coder
CredentialsTypically requires coding certifications and knowledge of DRG systemsRequires medical coding certifications like CPC or CCS
Work EnvironmentRemote, healthcare facilities, insurance companiesRemote, hospitals, clinics, insurance companies
Industry UsageUsed mainly in hospital billing and reimbursementUsed in medical billing, insurance claims, and healthcare documentation
Search & Comparison IntentOften compared for billing accuracy and reimbursement rolesCompared for coding accuracy and compliance roles

The Remote Drg Validator and Remote Medical Coder roles share similarities in certifications and work environments but differ mainly in their focus areas. The Drg Validator specializes in reviewing diagnoses-related groups for proper reimbursement, while Medical Coders focus on translating medical records into codes for billing. Both roles are essential in healthcare billing and often overlap in healthcare organizations, but their specific functions and certifications distinguish them.

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Remote Drg Validator jobs near you
Infographic showing various Remote Drg Validator job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 90% Full Time, 5% Part Time, and 2% Contract. Highlights an 71% Physical, 2% Hybrid, and 27% Remote job distribution, with an average salary of $57,562 per year, or $27.7 per hour.

DRG Coder, Registered Nurse

Pivotal Placement Services

Washington, DC • Remote

$95K - $105K/yr

Full-time

Re-posted 8 hours ago

Job description

DRG Coder, Registered Nurse

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

About the Role

We are seeking an experienced DRG Coder / Clinical Auditor (RN) to conduct comprehensive DRG quality and validation audits of inpatient medical records. This role is critical in ensuring accurate DRG assignment, strong clinical documentation support, and compliance with Medicare and CMS regulations. The ideal candidate is highly analytical, clinically strong, and comfortable working independently in a production-driven audit environment.

You will play a key role in improving coding accuracy, reimbursement integrity, and regulatory compliance while providing clear, defensible audit findings.

Key ResponsibilitiesDRG Validation & Chart Review
  • Perform in-depth DRG quality audits of inpatient medical records.
  • Validate DRG assignments against clinical documentation and coding guidelines.
  • Identify missed opportunities, discrepancies, and documentation gaps impacting reimbursement.
Clinical Documentation Review
  • Evaluate physician documentation to ensure clinical indicators appropriately support assigned diagnoses and procedures.
  • Apply strong clinical judgment to assess severity of illness, risk of mortality, and DRG impact.
Audit & Compliance
  • Ensure compliance with Medicare, CMS, and payer-specific documentation and coding requirements.
  • Identify trends, risks, and improvement opportunities related to DRG accuracy and quality.
  • Support organizational initiatives focused on audit accuracy, compliance, and revenue integrity.
Coding Expertise
  • Apply extensive hands-on knowledge of ICD-10-CM and ICD-10-PCS, Coding Clinic guidance, and Official Coding Guidelines.
  • Utilize MS-DRG and APR-DRG methodologies when reviewing and validating records.
Communication & Reporting
  • Document audit findings clearly, concisely, and professionally.
  • Communicate results and rationale effectively to internal stakeholders as required.
Additional Duties
  • Support other documentation, coding, and audit-related activities as assigned.
Required QualificationsLicensure
  • Active Registered Nurse (RN) license required
    (Non-RN candidates will not be considered)
Experience
  • Minimum of 2 years of recent DRG quality auditing experience in a hospital or health plan setting.
  • Extensive hands-on inpatient ICD-10-CM and ICD-10-PCS coding experience required.
Certifications
  • National coding certification required (AHIMA or AAPC).
  • CCS, CIC, or equivalent strongly preferred.
Technical Knowledge
  • Proficiency in Medicare and CMS documentation and coding guidelines.
  • Strong understanding of MS-DRG and APR-DRG methodologies.
  • Advanced familiarity with Coding Clinic citations and Official Coding Guidelines.
Soft Skills
  • Exceptional attention to detail and analytical accuracy.
  • Strong critical thinking and problem-solving skills.
  • Clear, professional written and verbal communication.
  • Ability to work independently in a fast-paced, production-driven environment.
Tools
  • Proficient in Microsoft Office Suite (Excel, Word, Outlook).
Compensation

💵 Pay Range: $90,000 – $104,841

Compensation is based on location, experience, qualifications, and internal equity. Final compensation may vary following the interview and assessment process.

Who We Are

Headquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm specializing in healthcare talent—from frontline staff to executive leadership—in both clinical and non-clinical roles. We deliver customer-focused staffing solutions through Direct Placement and MSP/VMS partnerships nationwide.