Inpatient DRG Validator & Coding Analyst

49 minutes ago
Full-time
Senior
Data Science and Analytics
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 for accurate coding, completeness, and consistency.
  • Validate ICD-10-CM and ICD-10-PCS codes, including principal and secondary diagnoses.
  • Assess code assignment appropriateness to support DRG reimbursement and data quality.
  • Review physician documentation for specificity and identify query opportunities.
  • Maintain current knowledge of regulatory and coding standards 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 as directed.
  • Collaborate with service line team members to support client needs, growth, and operational improvement.

Requirements

  • 5+ years of experience with coding inpatient claims.
  • CCS (Certified Coding Specialist) credential required.
  • Experience with Medicare and Medicaid DRGs.
  • Experience with DRG Validator.
  • Experience with OP coding is a plus.
  • Strong knowledge of official coding rules, guidelines, and conventions.
  • Experience using EHR systems such as Cerner, EPIC, or Meditech, plus DRG grouping software.
  • Computer 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 highly desired.
  • Excellent oral and written communication skills, including interaction with senior management.
  • Detail-oriented and able to meet targeted deadlines.
  • Bachelor of Science degree in a related field or an associate degree in Health Information Technology.
  • RHIA or RHIT is a plus.
  • Candidates must be legally authorized to work in the United States.
  • No current or future employment visa sponsorship available.

Interested in this position?

Apply directly on the company website

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