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Inpatient DRG Validator, Coding Analyst
Kodiak Solutions. Perform comprehensive inpatient coding and clinical validation reviews .
Core Competencies
Role fitCore Competencies
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Demonstrates expertise in inpatient coding, clinical validation, and revenue integrity, with a strong focus on MS-DRG and APR-DRG methodologies. Proficient in ICD-10-CM and ICD-10-PCS coding systems, with a commitment to accuracy and compliance in healthcare coding practices.
Highest-signal resume keywords
Certified Coding Specialist (CCS)Inpatient Coding ExperienceICD-10-CM and ICD-10-PCS KnowledgeMS-DRG and APR-DRG MethodologiesDRG Validation Experience
ATS Keywords
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Hard Skills
Inpatient CodingClinical ValidationDRG ValidationICD-10-CM CodingICD-10-PCS CodingCoding AccuracyComplianceQuality ImprovementRevenue IntegrityAnalytical Skills
Soft Skills
Attention to DetailWritten CommunicationVerbal CommunicationCollaborationComputer Literacy
Tools & Technologies
Electronic Medical Record (EMR) SystemsDRG Grouping SoftwareMicrosoft Applications
Certifications & Qualifications
Certified Coding Specialist (CCS)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)Certified Inpatient Coder (CIC)Certified Documentation Integrity Practitioner (CDIP)Clinical Documentation Integrity Specialist (CDIS)
Industry Keywords
Hospital-Acquired Conditions (HACs)Patient Safety Indicators (PSIs)Elixhauser MeasuresPayer Reimbursement MethodologiesQuality IndicatorsRisk-Adjustment MethodologiesCompliant Physician Query Practices
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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