Certified Coding Specialist

Job Summary

To support the Revenue Integrity Service Line, the full-time Inpatient DRG Validator & Coding Analyst will conduct inpatient coding reviews, validate ICD-10-CM and PCS codes, and ensure the accuracy and completeness of medical records for multiple clients.

Key responsibilities

• Review and analyze medical record documentation for accurate coding and compliance with regulatory standards
• Validate ICD-10-CM and PCS codes, ensuring assignment appropriateness to optimize DRG reimbursement
• Consult with client organizations and collaborate with service line team members to enhance operational improvement and meet client demands

Required qualifications

• Minimum of 5+ years' experience with Coding IP Claims
• CCS (Certified Coding Specialist) credential is required
• Experience with Medicare and Medicaid DRGs and DRG Validator
• Strong coding knowledge of ICD-10-CM/PCS and familiarity with EHR applications
• Bachelor of Science degree in a related field or an Associate's in Health Information Technology