DRG Validation Clinician
20220630203832 Cp8zt4ib7ber9qxl
Apply to this job Remote Until 8/23/2026 First posted March 20, 2025 Last posted March 20, 2025
Job description
DRG Validation Clinician
Position Summary
At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation and Readmission reviews. We are seeking an experienced clinician with utilization management, inpatient coding, and/or clinical validation experience to work within our clinical validation department.
This is a fulltime position (37.5 hours per week) Monday – Friday. You’ll enjoy the flexibility to telecommute from anywhere within the United States. Training will be conducted virtually from your home and all necessary equipment will be provided.
If you are interested in this role with MedReview, please let us know. Here is what we are searching for:
Qualifications
Position Summary
At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation and Readmission reviews. We are seeking an experienced clinician with utilization management, inpatient coding, and/or clinical validation experience to work within our clinical validation department.
This is a fulltime position (37.5 hours per week) Monday – Friday. You’ll enjoy the flexibility to telecommute from anywhere within the United States. Training will be conducted virtually from your home and all necessary equipment will be provided.
If you are interested in this role with MedReview, please let us know. Here is what we are searching for:
Qualifications
- Minimum of two years’ experience in some type of clinical review such as inpatient coding, utilization management, or clinical validation
- Knowledge of health insurance business, industry terminology, and regulatory guidelines
- Minimum of 3 years clinical experience in a hospital setting with experience including but not limited to reading histories and physicals, interpreting lab and test results, and discharge summaries.
- Active, unrestricted RN license or graduation from Medical School
- CCS or CIC certification is highly desired
- Ability to use common computer applications, such as Word.
- Understanding of anatomy, physiology, and diagnostic and surgical procedures
- Working knowledge of clinical criteria documentation requirements used to successfully substantiate code assignments
- The ability to accurately interpret a medical record
- The ability to work in an environment with productivity expectations
- Perform clinical record review, utilizing clinical expertise, judgement, guidelines, and policies to ensure the accuracy of medical coding
- Write clear, accurate and concise rationales in support of findings
Benefits and perks include
Remote Work Requirements- Healthcare that fits your needs - We offer excellent medical, dental, and vision plan options that provide coverage to employees and dependents.
- 401(k) with Employer Match - Join the team and we will invest in your future
- Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, and 11 observed holidays.
- Wellness - We care about your well-being. From Commuter Benefits to FSAs we’ve got you covered.
- Learning & Development - Through continued education/mentorship on the job and our investment in LinkedIn Learning, we’re focused on your growth as a working professional.
- High speed internet (100 Mbps per person recommended) with secured WIFI.
- A dedicated workspace with minimal interruptions to protect PHI and HIPAA information.
- Must be able to sit and use a computer keyboard for extended periods of time.
About this role
Summary
Review clinical records for accuracy in medical coding.
Job title
DRG Validation Clinician
Experience level
2+ years
Industry
healthcare
Location requirements
Remote work allowed from anywhere in the United States
Salary
Not specified
Management role
No
Skills & keywords
Required skills
clinical reviewinpatient codingutilization managementclinical validationRN licenseCCSCICcomputer applicationsanatomyphysiologydiagnostic proceduresmedical record interpretation
Preferred skills
None specified
Specializations
clinical reviewinpatient codingutilization managementclinical validation
Locations
Structured locations inferred from the posting.
United States
Remote Country