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Remote DRG & Coding Validation Specialist

Remote / Online - Candidates ideally in
Philadelphia, Philadelphia County, Pennsylvania, 19117, USA
Listing for: Molina Healthcare
Remote/Work from Home position
Listed on 2026-09-25
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 36000 - 77000 USD Yearly USD 36000.00 77000.00 YEAR
Job Description & How to Apply Below

Molina Healthcare is seeking a registered nurse to support inpatient and outpatient clinical claim review activities. You will verify diagnoses, procedures, revenue codes, and DRG assignments to ensure accurate reimbursement and compliance with coding guidelines.

The role involves independent review, evidence-based rationale, and collaboration with related teams. Ideal candidates have RN licensure, DRG expertise, and familiarity with ICD-10, CPT/HCPCS, and UHDDS.

The Remote DRG & Coding Validation Specialist role at Molina Healthcare is now open for applications in United States.

As a Remote DRG & Coding Validation Specialist, you will play an important part at Molina Healthcare in United States.

We invite applications for the Remote DRG & Coding Validation Specialist position located in United States.

The following position is for a Remote DRG & Coding Validation Specialist with Molina Healthcare.

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