Inpatient DRG Validator & Coding Analyst

Remotedxb; Dubai; On-site; AED 260,000 - 320,000; Full time

Job summary

Kodiak Solutions is seeking an experienced Inpatient Medical Coder to review ICD-10-CM/PCS coding for multiple clients and validate DRG assignments. You will analyze physician documentation for specificity and identify opportunities to improve accuracy while adhering to CMS, OIG, and AHA standards.

Strong collaboration with client teams is essential. The role requires CCS certification, 5+ years of IP coding experience, and proficiency with EHR systems such as Cerner, EPIC, and Meditech.

Qualifications

• Minimum 5+ years of inpatient coding IP Claims experience.
• CCS credential required.
• Experience with Medicare/Medicaid DRGs and DRG Validator.
• Strong ICD-10-CM/PCS knowledge and hospital revenue cycle expertise.
• Proficiency with EHR systems like Cerner, EPIC, Meditech.

Responsibilities

• Review inpatient coding (ICD-10-CM and ICD-10-PCS) for multiple clients to ensure accuracy.
• Validate codes, diagnoses, and assignment appropriateness.
• Review physician documentation for specificity and identify query opportunities.
• Maintain knowledge of CMS, OIG, AHA, and Coding Clinics standards.
• Meet productivity and quality expectations within the department.
• Consult with client organizations and collaborate with service line teams to develop growth strategies.

Skills

ICD-10-CM/PCS knowledge

IP Claims coding

Regulatory knowledge (CMS/OIG/AHA)

Client collaboration

Education

Bachelor/Associate in Health Information Technology

Tools

Cerner

EPIC

Meditech

DRG Validator

Job description

About the Company

At Kodiak Solutions, we're dedicated to transforming the healthcare industry through cutting-edge, technology-driven solutions. We specialize in healthcare finance, unclaimed property, risk management, and revenue cycle management, helping healthcare organizations streamline complex financial operations.

Responsibilities

• Review inpatient coding (ICD-10-CM and ICD-10-PCS codes) to ensure accuracy and completeness for multiple clients
• Validate ICD-10-CM and PCS codes, principal and secondary diagnoses, and assignment appropriateness
• Review physician documentation for specificity and identify query opportunities to improve documentation
• Maintain current knowledge of regulatory agencies standards including CMS, OIG, AHA, and Coding Clinics
• Meet departmental productivity and quality expectations
• Consult with client organizations and collaborate with service line team members to develop growth strategies

Requirements

• Minimum 5+ years of experience with Coding IP Claims
• CCS (Certified Coding Specialist) credential required
• Experience with Medicare and Medicaid DRGs
• Experience with DRG Validator
• Knowledge of ICD-10-CM/PCS
• Proficiency in EHR applications (Cerner, EPIC, Meditech, etc.) and DRG grouping software
• Bachelor of Science degree in a related field or Associate in Health Information Technology
• Strong knowledge of hospital revenue cycle, coding, and reimbursement

Preferred Qualifications

• Experience with OP coding
• ICD-10-CM/PCS AHIMA Approved Trainer experience
• RHIA or RHIT credentials