DRG Inpatient Coding Validator

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a DRG Inpatient Coding Validator based in the United States. The DRG Inpatient Coding Validator plays an important role in strengthening payment accuracy, regulatory compliance, and operational efficiency across inpatient claims. Working at the intersection of clinical review, claims operations, and payment integrity, you will identify DRG-related coding issues and potential provider overpayments. You will conduct prospective and retrospective claim reviews, assess coding accuracy, and help ensure that reimbursement decisions are supported by appropriate clinical documentation. The role involves close collaboration with clinical professionals, physicians, claims specialists, and other cross-functional partners. You will contribute to improving review workflows, maintaining quality standards, and supporting accurate provider communication. This is a remote opportunity for a detail-oriented coding professional who is comfortable applying clinical coding expertise in a collaborative, evolving environment.