RN Lead, DRG Coding/Validation Remote Full-time Job
Nov 1st, 2025 at 01:45 Healthcare & Medical Reference: 26208Job Details
Here is a summary of the text in a few sentences:
Molina Healthcare is seeking a Registered Nurse (RN) to fill a lead role in DRG Coding/Validation, responsible for developing tools and processes to ensure accurate and timely settlement of medical claims.
The ideal candidate will have at least 3 years of clinical nursing experience in claims auditing, quality assurance, or a related field, as well as strong knowledge of ICD-10, CPT, and DRG coding.
The position is remote, with Monday-Friday 8am-5pm work hours, and offers a competitive benefits and compensation package.
The successful candidate will have excellent communication skills, experience working with medical claims billing and payment systems, and the ability to work collaboratively across a matrixed organization.
