Inpatient DRG Validator & Coding Analyst

3 weeks ago
Full-time
Senior
Operations
Kodiak Solutions

Kodiak Solutions

Kodiak Solutions helps finance, revenue cycle, and compliance teams free up resources, manage mounting pressures, and reduce risk.

Diversified Financial Services

Description

  • Review inpatient coding records to ensure accuracy and completeness for multiple clients.
  • Validate ICD-10-CM and ICD-10-PCS codes, including principal and secondary diagnoses.
  • Assess coding assignment appropriateness to support DRG reimbursement, consistency, and data quality.
  • Review physician documentation for specificity, completeness, and opportunities for physician queries.
  • Maintain current knowledge of regulatory standards and coding guidance from agencies such as CMS, OIG, AHA, and Coding Clinics.
  • Maintain required coding credentials.
  • Meet departmental productivity and quality expectations.
  • Consult with client organizations and department heads at the direction of the service line director.
  • Collaborate with service line team members to address client needs and support service line growth and operational improvement.
  • Participate in meetings, conferences, and courses to support professional development.

Requirements

  • 5+ years of experience coding inpatient claims.
  • CCS (Certified Coding Specialist) credential required.
  • Experience with Medicare and Medicaid DRGs.
  • Experience with DRG Validator.
  • Experience with outpatient coding is a plus.
  • Strong knowledge of official coding rules, guidelines, and conventions.
  • Experience with EHR systems such as Cerner, Epic, or Meditech, and DRG grouping software.
  • Computer proficiency with MS Office and in-house proprietary software.
  • Knowledge of hospital or healthcare settings, including revenue cycle, coding, and reimbursement.
  • Knowledge of ICD-10-CM/PCS required.
  • ICD-10-CM/PCS AHIMA Approved Trainer experience is highly desired.
  • Excellent oral and written communication skills and ability to interact with senior management.
  • Detail-oriented and able to meet targeted deadlines.
  • Bachelor of Science degree in a related field required, or an Associate degree in Health Information Technology as a minimum acceptable credential.
  • RHIA or RHIT is a plus.

Interested in this position?

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