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Remote Clinical Validation Specialist: DRG & Coding Review
Remote / Online - Candidates ideally in
San Jose, Santa Clara County, California, 95199, USA
Listed on 2026-08-07
San Jose, Santa Clara County, California, 95199, USA
Listing for:
Molina Healthcare
Remote/Work from Home
position Listed on 2026-08-07
Job specializations:
-
Healthcare
Medical Billing and Coding
Job Description & How to Apply Below
Molina Healthcare is seeking a registered nurse with inpatient claim review experience to ensure diagnoses, procedures, revenue codes, and DRG assignments accurately reflect the documented care and billed charges.
You will apply ICD-10, DRG and revenue code guidelines, review complex scenarios, and collaborate with payment integrity teams to uphold documentation integrity and compliant reimbursement.
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