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 codes, and ensure compliance with regulatory standards while collaborating with healthcare providers to enhance documentation quality.

Key responsibilities:

• Review inpatient coding for accuracy and completeness of records coded by staff for multiple clients
• Validate ICD-10-CM and PCS codes to optimize DRG reimbursement and ensure data quality
• Consult with client organizations to improve documentation and meet departmental productivity expectations

Required qualifications:

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