DRG Validator

🕒 July 22

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 14%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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HCCS - Healthcare Coding & Consulting Services

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2006

💼 Consulting

🏥 Healthcare

📋 Compliance

Consulting • Healthcare • Compliance

HCCS - Healthcare Coding & Consulting Services is a US-based provider of remote medical coding, documentation auditing, clinical documentation improvement (CDI), DRG clinical validation, HIM services, and interface/EHR support for healthcare providers. They employ only US-based, W-2 coders and auditors and emphasize coding accuracy, regulatory/compliance-focused audits, and integration with common EHR systems (EPIC, Meditech, CPSI). HCCS serves hospitals and healthcare partners with B2B services and also hires and trains coding professionals.

📋 Description

• Perform DRG validation for inpatient coding cases • Conduct inpatient audits, including complex inpatient and trauma coding reviews • Identify coding opportunities and validate DRG assignments • Apply ICD-10-CM/PCS coding guidelines and MS-DRG/APR-DRG methodologies • Review documentation requirements and reimbursement methodologies • Provide clear audit findings • Deliver high-quality coding services to clients as part of HCCS's coding operations

🎯 Requirements

• Active AHIMA or AAPC coding certification required • CCS certification required • CDIP and/or CCDS certification preferred • Minimum of 3 years of recent APR-DRG/DRG coding experience in a Level II Trauma Center or higher • Minimum of 1 year of recent inpatient auditing experience in a Level II Trauma Center or higher • Previous DRG/APR-DRG validation experience required • Strong knowledge of ICD-10-CM/PCS coding guidelines • Knowledge of MS-DRG/APR-DRG assignment, reimbursement methodologies, and documentation requirements • Ability to identify coding opportunities, validate DRG assignment, and provide clear audit findings • Excellent written and verbal communication skills • Strong attention to detail • Must reside in the United States • High school diploma or equivalent required

🏖️ Benefits

• Competitive compensation • 401(k) • Medical, dental, vision, and life insurance • Paid time off • Fully remote, direct-hire W-2 position • Long-term career growth with a family-owned company