Inpatient DRG Validator, Coding Analyst

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

👻 Ghost score 11%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Perform comprehensive inpatient coding and clinical validation reviews • Review cases using MS-DRG and APR-DRG methodologies • Evaluate Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), and Elixhauser measures • Support healthcare organizations in improving coding accuracy, compliance, quality, and reimbursement • Meet established productivity, quality, and performance expectations • Maintain a high degree of accuracy and attention to detail • Collaborate with an experienced U.S.-based Revenue Integrity Optimization team • Contribute to coding, clinical quality, and revenue integrity initiatives

🎯 Requirements

• At least one required credential: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Inpatient Coder (CIC) • Minimum 5 years of inpatient coding, CDI, DRG validation, or revenue integrity experience • Minimum 3 years performing as a DRG validator • Advanced knowledge of ICD-10-CM and ICD-10-PCS coding systems • Strong understanding of MS-DRG and APR-DRG methodologies • Excellent analytical, written, and verbal communication skills • Strong computer literacy • Ability to navigate electronic medical record (EMR) systems, DRG grouping software, Microsoft applications, and other required technology platforms • Preferred: Certified Documentation Integrity Practitioner (CDIP) or Clinical Documentation Integrity Specialist (CDIS) • Preferred: Knowledge of payer reimbursement methodologies • Preferred: Experience with quality indicators, PSIs, HACs, and risk-adjustment methodologies • Preferred: Prior consulting or client-facing experience • Preferred: Familiarity with compliant physician query practices and clinical validation reviews • Must be legally authorized to work in the United States • Position is not eligible for employment visa sponsorship now or in the future

🏖️ Benefits

• Competitive compensation and a comprehensive benefits package designed to support team members and their families • Access to continuing education units (CEUs) • Reimbursement for eligible credential renewals • Professional development and career advancement opportunities • Collaborative, supportive, and highly engaged team environment • Opportunity to broaden capabilities and take on new challenges • Work with an experienced U.S.-based team