Job Title: Full Remote Medical Assistant - DRG Claims This is a temp-to-permanent position (full remote) Pay: $35-$38/hr Job Description: We are seeking a skilled and experienced Medical Assistant with a focus on DRG Claims to join our team in a full remote capacity. Reporting to the Medical Claims Review Nurse, this position encompasses a range of responsibilities including appeals, claims analytics, DRG Validation claims repricing, and outpatient payment integrity audits. The ideal candidate will have a comprehensive understanding of medical assistant duties and protocols alongside proficiency in claims processing and regulatory compliance. Key Responsibilities: Perform all back-office functions of a medical assistant within the MA scope of practice, including patient intake, health history recording, preparation for exams or procedures, immunizations, medication administration, vital signs monitoring, venipuncture, and injections. Provide guidance to staff and feedback to management on audit concept performance. Ensure compliance with State and Federal Regulatory programs and documentation requirements for claim payment. Maintain accurate patient visit documentation, including logs, charting, and inventory management. Review and process non-clinical appeals for overpaid claims. Conduct repricing of identified claims to identify overpayment variances for DRG Validation claims. Perform outpatient payment integrity audits. Must-Have Skills: Proficiency in medical terminology. Strong interpersonal and problem-solving skills. Excellent English communication skills (speaking, reading, writing, understanding). Computer proficiency, including typing and database support. Familiarity with Electronic Medical Record (EMR) and Practice Management (PM) systems. Ability to follow direction and adhere to established policies and procedures. Reliable attendance based on agreed-upon schedule. Commitment to maintaining confidentiality and compliance with HIPAA and PHI regulations. Ability to establish and maintain positive work relationships with colleagues, clients, providers, and customers. Requirements: 5+ years of experience as a Medical Assistant. High School Diploma or GED equivalent. Graduate from a federally accredited, state-licensed vocational/technical school medical assistant program. If you meet these qualifications and are looking for a challenging and rewarding remote opportunity in the healthcare field, we encourage you to apply. Join us in making a difference in healthcare delivery through accurate claims processing and integrity auditing.