At MedReview, the mission is to bring accuracy, accountability, and clinical excellence to healthcare. The company is a leading authority in payment integrity solutions, including DRG validation, cost outlier, and readmission reviews.
The DRG Reviewer conducts reviews of inpatient claims to ensure coding accuracy and appropriate DRG assignment while identifying cases requiring clinical review to support coded diagnoses.
This position is fully remote and requires availability during Eastern Standard Time (EST) business hours.
Requirements & Qualifications
- Coding certification required: CCS, CIC, or RHIT
- College-level coursework in medical terminology, anatomy, pathophysiology, pharmacology, and medical coding
- At least 3 years of experience in MS-DRG and APR-DRG validation in acute care inpatient coding and auditing
- Knowledge of the Official Coding and Reporting Guidelines, AHA Coding Clinic determinations, and CMS/regulatory compliance requirements
- Proficiency with Outlook, Word, Excel, and related applications
- Strong written and verbal communication skills
- Ability to maintain credentialed status through continuing education
- Ability to work independently, prioritize tasks, and multitask effectively
- Must be available for a 7.5-hour workday during EST business hours
- High-speed internet and a dedicated workspace required for remote work
Benefits & Perks
- Medical, dental, and vision coverage for employees and dependents
- 401(k) with employer match
- Accrued PTO starting day one, plus additional sick time and holidays
- Wellness support, commuter benefits, and FSAs
- Learning and development support, including mentorship and LinkedIn Learning
Location
New York, New York, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$85,000 - $90,000
Remote work allowed
Yes
Posted
1 month ago