Inpatient DRG Validator, Coding Analyst

🕒 August 4

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Kodiak Solutions

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2005

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Kodiak Solutions is a healthcare-focused SaaS company that provides a cloud-based Revenue Cycle Analytics (RCA) platform and expert services to hospitals and health systems. The company combines a large clinical and financial data pool with proprietary analytics and in-house specialists to optimize revenue cycle operations, improve net revenue, support government reimbursement and compliance, and automate workflows for finance and risk teams. Kodiak primarily serves enterprise healthcare organizations and finance/revenue cycle leaders with data-driven insights, reporting, and advisory solutions.

📋 Description

• Work closely with the Supervisor/Manager of Revenue Integrity Services to achieve service-line and company-wide goals • Provide inpatient coding reviews and support other Kodiak service lines • Review inpatient ICD-10-CM and ICD-10-PCS coding for accuracy and completeness across multiple clients • Validate principal and secondary diagnoses and assignment appropriateness • Review physician documentation for specificity, completeness, and quality • Identify physician query opportunities to improve documentation and coding accuracy • Maintain current knowledge of CMS, OIG, AHA, Coding Clinics, and other regulatory standards • Maintain required coding credentials • Meet departmental productivity and quality expectations • Consult with client organizations and department heads as directed • Collaborate with service-line team members to meet client demands and develop growth and operational-improvement strategies

🎯 Requirements

• Minimum 5+ years’ experience with coding inpatient claims • CCS (Certified Coding Specialist) credential required • Experience with Medicare and Medicaid DRGs • Experience with DRG Validator • Strong coding knowledge and ability to follow official coding rules, guidelines, and conventions • Competency using EHR applications such as Cerner, EPIC, or Meditech • Knowledge of DRG grouping software • Computer proficiency with MS Office and proprietary software • Knowledge of hospital/healthcare settings, including revenue cycle, coding, and reimbursement • Knowledge of ICD-10-CM/PCS required • Bachelor of Science degree in a related field, with an associate degree in Health Information Technology minimally acceptable • Must be legally authorized to work in the United States • Position is not eligible for employment visa sponsorship now or in the future

🏖️ Benefits

• Opportunities for individual growth and development, including attending meetings, conferences, and courses as required