At Kodiak Solutions, we're dedicated to transforming the healthcare industry through cutting-edge, technology-driven solutions. We specialize in healthcare finance, unclaimed property, risk management, and revenue cycle management, helping healthcare organizations streamline complex financial operations. Our mission is to simplify and optimize processes, so healthcare providers can focus on delivering excellent patient care.
The Inpatient DRG Validator & Coding Analyst will work closely with the Supervisor/ Manager of Revenue Integrity Services to achieve the Revenue Integrity Service Line's goals and objectives and Company-wide goals and initiatives. This role is responsible for supporting the Kodiak Service Line by providing inpatient coding reviews, as well as supporting other Kodiak Service Lines.
Primary duties include reading and analyzing medical record documentation for accurate coding, reviewing inpatient coding (ICD-10-CM and ICD-10-PCS codes) to ensure accuracy and completeness, validating principal and secondary diagnoses codes, ensuring appropriate assignment to optimize DRG reimbursement, reviewing physician documentation to support coding accuracy and identify query opportunities, maintaining current knowledge of regulatory agency standards (CMS, OIG, AHA, Coding Clinics), and maintaining required coding credentials.
The analyst will meet productivity and quality expectations, consult with client organizations, and collaborate with other service line team members to meet client demands and develop strategies for service line growth and operational improvement.
- Minimum 5+ years experience with 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
- Competent with computer applications in EHR systems (Cerner, EPIC, Meditech) and DRG grouping software
- Proficient with MS Office and proprietary software
- Knowledge of hospital/healthcare settings such as revenue cycle, coding, and reimbursement
- Knowledge of ICD-10-CM/PCS required
- AHIMA Approved ICD-10-CM/PCS Trainer experience highly desired
- Excellent oral and written communication skills and ability to interact with senior management
- Detail-oriented and able to meet deadlines
- Bachelor of Science degree in a related field preferred; Associates in Health Information Technology minimally acceptable
- RHIA or RHIT credentials a plus
- CCS credential required
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago