DRG Reviewer

Machinify · Other

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Full Time$90,000 - $115,000Posted Aug 31, 2026

Source: machinifyinc

AT A GLANCE
Eligibility
Not available
Category
Other
Salary
$90,000 - $115,000
Employment
Full Time
Experience
Mid
Posted
Aug 31, 2026

This role’s source listing does not include Hungary as an eligible location.

The DRG Reviewer will conduct detailed payment validation and medical record audits within a digital-first healthcare intelligence firm, operating remotely across the US.

In this role, you will analyze patient medical records against clinical and coding guidelines to ensure accurate reimbursement and compliance with regulatory standards. You will collaborate with team leaders to review DRG denials and provide evidence-based rationales for coding decisions, contributing to the integrity of payment processes within the Complex Payment Solutions Team.

Why You’ll Love This Role

Remote - US location
90,000 - 115,000 USD base salary range
Quarterly bonus eligibility
Mid-senior level role
Digital-first company culture

What You’ll Bring

Associate or bachelor’s degree in nursing or health information management
Active unrestricted RN license or RHIA/RHIT/CCDS/CDIP/CCS/CIC certification
Minimum 2 years of inpatient claims auditing or clinical documentation integrity experience
Deep knowledge of DRG methodologies MS and APR
Proficiency in ICD-10-CM/PCS coding and AHA Official Coding Guidelines
Ability to work independently with minimal supervision

What You’ll Get

Medical, dental, and vision insurance
FSA and HSA
Tuition reimbursement
401(K) with company match
Paid time off
Meaningful equity

About the Company

Machinify is a healthcare intelligence company that utilizes an AI-powered platform to improve transparency and financial outcomes for health plans. They serve over 85 health plans across the US, representing more than 270 million lives through digital-first operations.

Listing checked for remote eligibility · Posted Aug 31, 2026 · machinifyincApply →
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