Inpatient DRG Validator, Coding Analyst

🕒 2 dias atrás

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Kodiak Solutions

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 2005

☁️ SaaS

🤝 B2B

📋 Conformidade

SaaS • B2B • Compliance

Kodiak Solutions é uma empresa de SaaS focada em saúde, que oferece uma plataforma de Análise do Ciclo de Receita (Revenue Cycle Analytics - RCA) baseada em nuvem e serviços especializados para hospitais e sistemas de saúde. A empresa combina um grande conjunto de dados clínicos e financeiros com análises proprietárias e especialistas internos para otimizar operações do ciclo de receita, melhorar a receita líquida, apoiar o reembolso e conformidade governamental, além de automatizar fluxos de trabalho para equipes financeiras e de risco. A Kodiak atende principalmente organizações de saúde empresariais e líderes de finanças/ciclo de receita com insights baseados em dados, relatórios e soluções de consultoria.

Descrição

• 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.

🎯 Requisitos

• 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.

🏖️ Benefícios

• Health insurance • Professional development opportunities