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Remote Clinical Validation Specialist: DRG & Coding Review

Remote / Online - Candidates ideally in
Denver, Denver County, Colorado, 80285, USA
Listing for: Molina Healthcare
Full Time, Remote/Work from Home position
Listed on 2026-09-17
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Compliance, Healthcare Administration, Medical Records
Salary/Wage Range or Industry Benchmark: 36000 - 79000 USD Yearly USD 36000.00 79000.00 YEAR
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.

Join us at Molina Healthcare as our next Remote Clinical Validation Specialist: DRG & Coding Review in United States.

Our team is growing, and we are hiring a Remote Clinical Validation Specialist: DRG & Coding Review in United States.

This Full Time opportunity is for the Remote Clinical Validation Specialist: DRG & Coding Review role at Molina Healthcare.

We are seeking a motivated Remote Clinical Validation Specialist: DRG & Coding Review to join Molina Healthcare in United States.

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