Inpatient DRG Validator, Coding Analyst
Kodiak Solutions
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- 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 organizations and their department heads at the direction of the service line director.
- Collaborate with other service line team members to meet client demands and to develop strategies for service line growth and operational improvement.
Requirements
- A minimum, 5+ years’ experience with Coding IP Claims
- CCS (Certified Coding Specialist) credential required
- Experience with Medicare and Medicaid DRGs.
- Experience with DRG Validator.
- Experience with OP coding a plus.
- Strong coding knowledge and follow the official coding rules, guidelines, and conventions to validate coded data and ensure high quality and compliance with regulatory requirements.
- Demonstrates competency in the use of computer applications in the EHR (i.e., Cerner, EPIC, Meditech, etc.) and knowledge in DRG grouping software.
- Computer proficiency as related to MS Office and in-house proprietary software.
- Demonstrates knowledge in hospital/healthcare settings such as 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 the ability to interact with high-level of management.
- Detailed-oriented and able to meet targeted deadlines.
- Bachelor of Science degree in a related field, Associates in Health Information Technology minimally acceptable.
- RHIA or RHIT a plus, CCS credential required.
Benefits
- 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 organizations and their department heads at the direction of the service line director.
- Collaborate with other service line team members to meet client demands and to develop strategies for service line growth and operational improvement.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CMICD-10-PCSDRG codingcoding compliancecoding guidelinesEHR applicationsDRG grouping softwareMedicareMedicaidOP coding
Soft Skills
communication skillsdetail-orientedcollaborationconsultationorganizational skillsindividual growthproductivityquality expectationsinterpersonal skillsstrategic development
Certifications
CCSRHIARHIT