Inpatient DRG Validator & Coding Analyst
New
K
Kodiak SolutionsHealthcare Finance
RemoteFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- 5+ years
- Required Skills
- EHR
Requirements
- 5+ years of experience with Coding IP Claims.
- CCS (Certified Coding Specialist) credential required.
- Experience with Medicare and Medicaid DRGs.
- Experience with DRG Validator software.
- Strong knowledge of ICD-10-CM/PCS coding rules and guidelines.
- Competency in EHR systems (e.g., Cerner, EPIC, Meditech) and DRG grouping software.
- Proficiency in MS Office.
- Knowledge of hospital revenue cycle and reimbursement settings.
- Bachelor of Science degree in a related field or Associate's in Health Information Technology (minimum).
- Detailed-oriented and able to meet targeted deadlines.
Responsibilities
- Analyze medical record documentation for accurate coding.
- Review inpatient coding (ICD-10-CM and ICD-10-PCS) to ensure accuracy and completeness.
- Validate ICD-10-CM/PCS codes, principal/secondary diagnoses, and DRG assignment.
- Review physician documentation to identify query opportunities for improved coding accuracy.
- Maintain knowledge of regulatory standards including CMS, OIG, and AHA.
- Consult with client organizations and department heads.
- Collaborate with team members to support service line growth and operational improvement.
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