DRG Validation Specialist – MaineHealth
Location: Fully Remote
Facility: MaineHealth Corporate
Schedule: Full Time
Shift: Day
Job Category: Professional – Clinical
Are you passionate about accuracy and compliance in healthcare coding? Join our team as a DRG Validation Specialist and play a critical role in ensuring precise DRG assignments and supporting reimbursement integrity. You’ll collaborate with coding professionals and clinical documentation teams to maintain the highest standards of quality and compliance.
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)
In addition to the KSA's above, the successful candidate should also have the following skill sets:
- Auditing experience
- Strong oral and written communication skills
- Critical thinking and strong organizational skills
Why Join MaineHealth?
Join one of the most respected healthcare systems in New England. We’re committed to creating an inclusive environment where you can thrive. Our benefits are designed to support your needs today and help you plan for tomorrow.
- Be part of a nationally recognized health system.
- Access professional development and continuing education.
- Wellness resources for you and your family.
- Enjoy competitive compensation and comprehensive benefits.
Ready to make an impact? Apply now: DRG Validation Specialist in Scarborough, ME, United States
About MaineHealth:
MaineHealth is a not-for-profit integrated health system whose vision is, “Working together so our communities are the healthiest in America.” MaineHealth consists of nine local health systems, a comprehensive behavioral health care network, diagnostic services, home health agencies, and 1,700 employed clinicians working together through the MaineHealth Medical Group. With approximately 22,000 care team members, MaineHealth provides preventive care, diagnosis, and treatment to 1.1 million residents in Maine and New Hampshire. Learn more about our system at mainehealth.org
At MaineHealth, we offer benefits that support an individual's needs for today and flexibility to plan for tomorrow. Our packages include health and dental insurances, paid parental leave, retirement program, generous paid time off, and much more! Our comprehensive array of benefits are competitive, affordable, and include choices that meet specific, but ever-changing, needs.
With a career at any of the MaineHealth locations, you’ll be working with health care professionals that truly value the people around them – both within the walls of the organization and the neighborhoods that surround it. We are deeply invested in the well-being of our communities and care for team members. We believe in fostering a work environment of strong commitment, compassionate caring, and continuous improvement. Join us, and your abilities will be challenged and enhanced as you take your career to a new level.
MaineHealth values diversity and is an Equal Opportunity/Affirmative Action employer. Federal and state laws prohibit discrimination in employment because of race, color, national origin, religion, age, sex, sexual orientation, disability, or veteran status.
