Inpatient DRG Validator & Coding Analyst

18 hours, 32 minutes 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 medical record documentation to validate coding accuracy and completeness.
  • Validate ICD-10-CM, ICD-10-PCS, principal diagnoses, and secondary diagnoses.
  • Assess assignment appropriateness to support consistency, efficiency, DRG reimbursement, and data quality.
  • Review physician documentation for specificity and completeness, and identify query opportunities.
  • Maintain current knowledge of coding and regulatory standards, including CMS, OIG, AHA, and Coding Clinics.
  • Meet departmental productivity and quality expectations.
  • Consult with client organizations and department leaders as directed by the service line director.
  • Collaborate with service line team members to support client demands, service line growth, and operational improvement.
  • Maintain required coding credentials and pursue ongoing professional development.

Requirements

  • 5+ years of experience with inpatient coding (Coding IP Claims).
  • CCS (Certified Coding Specialist) credential required.
  • Experience with Medicare and Medicaid DRGs.
  • Experience with DRG Validator tools or workflows.
  • Experience with outpatient coding is a plus.
  • Strong knowledge of official coding rules, guidelines, and conventions.
  • Experience using EHR systems such as Cerner, EPIC, or Meditech, and DRG grouping software.
  • Proficiency with MS Office and in-house proprietary software.
  • Knowledge of hospital/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, including the ability to interact with senior management.
  • Detail-oriented with the ability to meet targeted deadlines.
  • Bachelor of Science degree in a related field required, or an associate degree in Health Information Technology at minimum.
  • RHIA or RHIT is a plus.

Interested in this position?

Apply directly on the company website

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