State Licensed Clinical Coding Manager

Location: Remote

Compensation: To Be Discussed

Reviewed: Tue, Feb 17, 2026

This job expires in: 27 days

Job Category: Quality Assurance

Weekly Hours: Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College, Masters

Job Summary

A company is looking for a Manager, Clinical & Coding Review (DRG).

Key Responsibilities

Monitor and optimize business processes to ensure accuracy and compliance in billing and claims payment
Lead and mentor teams conducting advanced coding and clinical validation reviews
Analyze audit trends and DRG adjustments to inform program development and identify review opportunities

Required Qualifications

Associate's Degree in health information management, Nursing, or a related field required
5+ years of managerial/supervisory experience required
8+ years of complex medical claim review experience required
3+ years of DRG review and Clinical Documentation Improvement experience required
Proficiency in ICD-10-CM/PCS, MS-DRG, and other review types required

COMPLETE JOB DESCRIPTION

The job description is available to subscribers. Subscribe today to get the full benefits of a premium membership with Virtual Vocations. We offer the largest remote database online...

Apply

Company Overview

Company Company Name

Headquarters Headquarters

Founded Founded

Website

Wikipedia Wikipedia URL

BBB URL BBB URL

The company description is available to subscribers. Subscribe today to get the full benefits of a premium membership with Virtual Vocations. We offer the largest remote database online...