Inpatient Coding & DRG Validation Specialist (Remote – Must Reside in EST Time Zone)
FULL TIME M-F 8-5 EST
Overview:
We are seeking a highly skilled Coding & DRG Validation Specialist to support our inpatient review program. This is a fully remote position; however, candidates must reside in the Eastern Standard Time (EST) zone to align with operational and team needs. The ideal candidate will leverage expert knowledge of ICD-10-CM coding guidelines, DRG assignment, and AHA Coding Clinic regulations to ensure accuracy, compliance, and high-quality review outcomes.
Responsibilities:
• Review, re-abstract, and recode inpatient hospital medical records to verify that submitted data aligns with documentation in the medical record.
• Validate DRG assignments and ensure adherence to ICD-10-CM Official Coding Guidelines and AHA Coding Clinic regulations.
• Refer cases appropriately to Physician Consultants and RN Clinical Reviewers when additional clinical expertise is needed.
• Assist in data analysis, reporting of findings, and quality improvement initiatives.
• Support DRG-related education, training, and implementation efforts for internal teams.
• Participate in medical record review, utilization review, and quality assurance activities as assigned.
• Perform other duties as needed to support departmental goals.
Qualifications:
• Strong interpersonal skills with the ability to communicate effectively with physicians, clinical staff, and administrative leadership.
• Excellent verbal and written communication skills.
• Advanced technical knowledge of inpatient coding, DRG validation, and regulatory compliance.
• Ability to work independently with minimal supervision while maintaining high accuracy.
Education & Experience:
• Required: RHIA, RHIT, or CCS certification.
• Required: ICD-10 certification.
• Minimum of 1 year of hospital inpatient coding and abstracting experience.
Why Join Us?
• Fully remote role (must be EST-based)
• Flexible schedule
• Opportunity to collaborate with a highly skilled clinical and coding team
• Supportive environment focused on accuracy, quality, and professional development
Apply Now
Apply Now