enablecomp - DRG Validator/Reviewer (REMOTE)

• Associate's or bachelor’s degree in health information management or related field required. (RHIT or RHIA credentialed individuals encouraged). • Certified Coding Specialist (CCS) certification required. • 2-3 years’ experience in DRG validation, inpatient medical coding, or related coding review. • Strong understanding of ICD-10-CM/PCS coding guidelines, DRG reimbursement methodology, and hospital billing processes. • Proficient in reading and interpreting clinical documentation across multiple departments (e.g., nursing, operative, radiology, pharmacy). • Experience working in a post-bill coding environment and familiarity with DRG grouping software and billing databases. • Analytical thinker with a focus on financial impact and reimbursement accuracy. • Comfortable navigating multiple digital platforms, EMRs, and data systems. • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook). • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. • ## Special Considerations and Prerequisites • This role is primarily office-based or remote, depending on company policy, with extensive computer and document review work. • Must be comfortable working independently in a detail-oriented, data-driven environment. • Excellent communication and documentation skills to support client reporting and recommendations. • High integrity and professionalism in handling PHI and confidential information. • Strong collaboration and responsiveness to feedback from leadership and client partners. • Ability to review and analyze large volumes of medical and billing data. • Strong focus and attention to detail in identifying discrepancies and ensuring compliance. • Ability to manage high volumes of case processing with accuracy and efficiency. • Ability to meet deadlines and handle time-sensitive workloads in a high-volume environment. • Proven written and verbal communication skills. • Strong analytical and problem-solving skills. • Ability to prioritize and manage multiple competing priorities and projects concurrently. • Proven experience working with external clients; strong customer service skills and business acumen. • Timely and regular attendance.