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 the accuracy of medical record documentation while collaborating with various service line team members.

Key responsibilities

• Review inpatient coding for accuracy and completeness, validating ICD-10-CM and PCS codes
• Analyze medical record documentation to ensure compliance with coding standards and identify opportunities for physician queries
• Consult with client organizations and collaborate with team members to enhance service line growth and operational improvement

Required qualifications

• Minimum of 5+ years' experience with Coding IP Claims
• CCS (Certified Coding Specialist) credential required
• Experience with Medicare and Medicaid DRGs and DRG Validator
• 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