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Inpatient DRG Validator, Coding Analyst
Location
United States
Posted
60 days ago
Salary
0
Seniority
Senior
Job Description
Inpatient DRG Validator, Coding Analyst
Kodiak Solutions
• 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.
Job 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.
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