DRG Validator

Are you ready to take your skills to the next level? At UASI, we’re proud to work with the top hospitals and HIM experts in the industry and we’re looking for talented professionals like you to join our team!

We currently have an exciting remote opportunity for an experienced DRG Validator. This position offers the best of both worlds: the challenge and reward of using and growing your coding expertise, combined with the flexibility and convenience of working from home.

Position Overview:

The DRG Validator is responsible for reviewing inpatient medical records to ensure the accuracy and integrity of DRG assignments, clinical documentation, and coding. This role supports compliance with regulatory guidelines and optimizes appropriate reimbursement.

Key Responsibilities

• Review inpatient medical records to validate the accuracy of assigned DRGs
• Ensure compliance with ICD-10-CM/PCS coding guidelines and CMS regulations
• Identify discrepancies in coding or documentation and recommend corrections
• Collaborate with coding teams, CDI specialists, and physicians to clarify documentation
• Conduct audits to detect undercoding, overcoding, or billing errors
• Provide feedback and education to coding staff on DRG optimization and compliance
• Maintain productivity and quality standards for case reviews

Qualifications

• Certified coding credential (RHIA, RHIT, CCS)
• Strong knowledge of ICD-10-CM/PCS coding systems
• Experience with Patient Safety Indicators (PSIs) and Hospital Acquired Conditions (HACs)
• Understanding of MS-DRG/APR-DRG methodologies
• Minimum of 2-3 years’ experience in inpatient coding and auditing or DRG validation
• Strong technical skills, including experience with VPNs, multi-factor authentication, and video conferencing tools
• Proficiency in Microsoft Office, particularly Outlook (email and calendar) and Excel
• A consistent, reliable work schedule and punctual attendance

Why UASI?

UASI provides employees with the tools needed for professional growth and development. We also recognize that our employees are our greatest asset and in return for your talents, we offer a dynamic work environment, career-growth and development, strong leadership and TOP PAY!

Ready to take the next step in your career?

📞 Call us at 800.526.0594
📧 Email: [email protected]
🌐 Visit: www.uasisolutions.com