🤖 15+ AI Agents working for you. Find jobs, score and update resumes, cover letter, interview questions, missing keywords, and lots more.
Cookies & analytics consent
We serve candidates globally, so we only activate Google Tag Manager and other analytics after you opt in. This keeps us aligned with GDPR/UK DPA, ePrivacy, LGPD, and similar rules. Essential features still run without analytics cookies.
Read how we use data in our Privacy Policy and Terms of Service.
🤖 15+ AI Agents working for you. Find jobs, score and update resumes, cover letter, interview questions, missing keywords, and lots more.
MaineHealth • Scarborough, Maine, United States
Role & seniority: DRG Validation Specialist (professional level; remote)
Stack/tools: Health Information Management/based tools; EPIC EHR; 3M Encoder; Computer Assisted Coding (CAC); revenue cycle/billing systems; Cloudmed recommendations
Review codes to validate DRG assignments and resolve DRG matches between CDI and coding
Participate in external audits; answer coding questions; identify educational needs
Develop and deliver educational materials; identify opportunities to improve query composition and compliance
Associate’s or Bachelor’s in Health Information Management or related field
RHIT, RHIA, or CCS certification
Minimum 3 years inpatient coding experience at a large acute care or academic facility
Auditing experience; strong oral/written communication; critical thinking; organizational skills
Advanced coding skills; knowledge of revenue cycle, EPIC, 3M Encoder, ICD-10 training; CAC software
Location & work type: 100% remote opportunity; positions with MaineHealth across Maine and New Hampshire
Notes: Role supports compliance, education, and DRG accuracy within MaineHealth.
Description
MaineHealth Corporate
Professional - Clinical
Req #: 49105
Summary
MaineHealth is actively recruiting for a DRG Validation Specialist.This is a 100% remote opportunity.
The DRG Validation Specialist Job Functions Will Include
reviews codes to validate DRG assignment appealsexternal audits processesCloudmed recommendations resolves DRG matches between CDI and coding answers coding questions identifies opportunities for query composition improvement/compliance identifies educational needs creates educational materials
Required Minimum Knowledge, Skills, And Abilities (KSAs)
Education: Associate’s and/or Bachelor’s Degree in Health Information Management or other science based degree such as Nursing required.
License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) required.
Experience: Three years of experience as an inpatient coder at a large acute care or academic teaching facility required.
Additional Skills/Requirements Required: N/A
Additional Skills/Requirements Preferred: Advanced coding skills and knowledge of revenue cycle, billing systems, EPIC Electronic Health Record and 3M Encoder, ICD 10 training, Computer Assisted Coding software (CAC)
Auditing experience Strong oral and written communication skills Critical thinking and strong organizational skills
Additional Information
With a career at any of the MaineHealth locations across Maine and New Hampshire, you’ll be working with health care professionals that truly value the people around them – both within the walls of the organization and the communities that surround it.
We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow – programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.
MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you’re looking to build a career in a place where people help one another deliver best-in-class care, apply today.