RN DRG Appeals Reviewer
Remote Registered Nurse DRG Appeals Reviewer (CCS or CIC) We’re looking for a Registered Nurse to join a respected organization consistently recognized as a certified great workplace, known for its strong sense of purpose , inclusive culture , and commitment to employee growth . This full-time, remote role is ideal for individuals who are detail-oriented, thrive in coding/auditing environments, and want to grow within a specialized payment integrity team. Schedule & Location:
- Fully remote (any U.S. time zone)
- Monday – Friday, 8:00 AM – 5:00 PM CST
Compensation
Notes: $90,000 - $96,000 Annually Daily Responsibilities For a Registered Nurse DRG Appeals Reviewer
- Review previously denied inpatient claims to confirm the denial was appropriate
- Re-evaluate DRG assignment, coding, and clinical documentation
- Complete detailed appeals reviews when providers dispute the denial
- Use clinical validation guidelines to determine if the original DRG/payment should stand or be adjusted
- Support the clinical review team with high-level claim analysis
Benefits
- 100% Remote!
- Medical (HDHP) with pharmacy, dental, and vision coverage
- Health Savings Account (HSA) with employer contribution and FSA options
- 100% coverage for imaging, therapy, DME, and home health
- Employee Assistance Program (EAP)
- 401(k) with employer contribution potential
- Basic Life & AD&D, Core LTD, and Buy-Up LTD
- Voluntary Life & AD&D
- Voluntary Accident, Critical Illness, Hospital Indemnity, and Whole Life insurance options
Required Qualifications
- Active, clear RN license in state of residence
- 2 years recent DRG coding/validation experience
- Ability to review denials and defend findings with documentation
- CIC or CCS required
Interested in Remote Registered Nurse DRG Appeals Reviewer Click Apply Now Or Connect Directly With Brandon Schabbel
- Call: 407-636-5712
- Email: [email protected]
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. Apply tot his job Apply To this Job