Kodiak Solutions
Healthcare
InpatientDRGValidatorandCodingAnalyst
Neural analysis suggests this role is
optimal for Senior candidates.
“Inpatient DRG Validator and Coding Analyst at Kodiak Solutions. Skills: DRG Validation, Coding Analysis, Revenue Integrity. Read medical record documentation. Review inpatient coding”
What You'll Achieve.
Achieve Service Line goals; Meet client demands; Meet departmental productivity; Meet departmental quality expectations
Industry & Context.
What They're Looking For.
Must Have
5+ years experience with Coding IP Claims, CCS credential required, Experience with Medicare and Medicaid DRGs, Experience with DRG Validator, coding knowledge, Knowledge of ICD-10-CM/PCS, Competency in computer applications in EHR, Knowledge in DRG grouping software, Computer proficiency in MS Office, Knowledge in hospital/healthcare settings, Associate's in Health Information Technology
Nice to Have
Experience with OP coding a plus, AHIMA Approved Trainer experience highly desired, RHIA or RHIT a plus
What You'll Do.
Read medical record documentation
Review inpatient coding
Validate ICD-10-CM and PCS codes
Ensure consistency and efficiency
Optimize DRG reimbursement
Facilitate data quality
Review physician documentation
Identify physician query opportunities
Maintain knowledge of regulatory agencies
Maintain required coding credential(s)
Seek opportunities for growth
Meet departmental expectations
Consult with client organizations
Collaborate with team members
Develop strategies for growth
How You'll Work.
Team & Collaboration
With Supervisor/Manager; With other service line members
Communication Scope
Oral communication; Written communication
Full Job Description
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. The Inpatient DRG Validator & Coding Analyst will be responsible for supporting the Kodiak Service Line by providing inpatient coding reviews, as well as supporting other Kodiak Service Lines. Essential Duties and Responsibilities include the following. Other duties may be assigned. Ability to read, decipher and analyze all aspects of medical record documentation for accurate coding. Responsible for reviewing inpatient coding (ICD-10-CM and ICD-10-PCS codes) to ensure accuracy and completeness of records coded by the coding staff for multiple clients. Validate the ICD-10-CM and PCS codes, principal and secondary diagnoses Assignment appropriateness to ensure consistency and efficiency and to optimize DRG reimbursement and facilitate data quality in hospital inpatient services. Review physician documentation for specificity, completeness, and quality to support coding accuracy, and to identify physician query opportunities to improve the documentation. Maintains current knowledge of regulatory agencies standards, i.e., CMS, OIG, AHA, Coding Clinics etc. Maintain required coding credential(s) Seeks opportunities for individual growth and development, including attending various meetings, conferences, and courses, as required, Responsible for meeting departmental productivity and quality expectations. Consult with client
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