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AL, United States
20 days ago
Alabama, United States
20 days ago


Looking for a job where you can use your coding validation skills at the highest level?
Like new challenges every day?
 If so, this could be the opportunity for you to join
an accuracy-focused, energetic team!!

VARIS provides overpayment identification services to payers who utilize the diagnosis related group (DRG) methodology for acute inpatient claims payment. We are the only company across the nation focused solely on providing overpayment identification services within DRG and APC-paid claims, while offering a highly trained and experienced team of experts. Thus, our priority is our customers: to reduce their claims overpayments and ensure maximum use of claims payment dollars.  To learn more about VARIS, please visit 


Coding Validation Specialist The Coding Validation Specialist reviews provider medical records to validate accuracy of ICD-10-CM coding and ensure that accurate DRG is assigned while assuring that appropriate customer payment policies are applied to each case reviewed. The individual will abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association.


·  Performs data quality reviews of inpatient medical records to validate the ICD-10-CM codes and accuracy of the assigned DRG.

·  Maintains expert knowledge of ICD-10-CM coding conventions and rules, Official Coding Guidelines and AHA Coding Clinic.

·  Applies specific customer payment policies.

·  Validates patient data by comparing claims data received from customer with the patient medical record.

·  Develops rationale for any coding change that affects the DRG assignment to include Official Coding Guidelines, AHA Coding Clinic and coding conventions applied in making coding change.

·  Refers cases to Medical Director/independent peer review panel for clinical interpretation.


Qualifications:The ideal candidate will possess a minimum of 5 years hospital inpatient coding for PPS reimbursement or at least 2 years experience performing DRG validation. Comprehensive knowledge of the DRG structure and regulatory requirements is required. The individual must have knowledge of word processing, spreadsheet, database and internet software and possess national certification as Certified Coding Specialist (CCS). Must have the ability to use computer applications, DRG Grouper/Pricer software and ICD-10-CM encoder software. Must demonstrate passion for coding and payment methodologies and positive self-direction.  After initial training, the candidate will transition to a remote position. 

Benefits: In exchange for your hard work and dedication, we offer excellent compensation with great benefits.

To Apply:To respond to this opportunity, please reply with a cover letter and your resume to: EOE

Job Information

  • Job ID: 64651636
  • Location:
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  • Position Title: Coding Validation Specialist Remote
  • Company Name For Job: VARIS
  • Work Setting: Ambulatory Care,Consultant/Vendor
  • Job Function: Academic Administrator,
  • Career Level: Experienced (non-manager)
  • Job Type: Full-Time
  • Job Duration: Indefinite
  • Min Education: HIM Certificate Program/ISP
  • Min Experience: 2-5
  • Required Travel: 10-25%
  • Required Credentials: AHIMA

Please refer to the company's website or job descriptions to learn more about them.

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