DRG Validator
在 Kodiak Solutions,我们致力于通过先进的技术驱动解决方案改变医疗保健行业。我们专注于医疗保健金融，未占财产，风险管理和收入周期管理，帮助卫生组织简化复杂的财务运营。我们的使命是简化和优化流程，以便医疗服务提供商能够专注于提供卓越的患者护理。DRG 位置验证器在 Kodiak 的收入完整性优化团队中发挥了重要作用，帮助卫生机构提高编码精度，合规性，质量和退款。验证者与经验丰富的美国团队一起开展了跨 MS-DRG 和 APR-DRG 方法程的综合实体编码和临床验证审查。Kodiak 的 DRG 验证超越了传统实体编号审查，并包括更广泛的临床和质量考虑因素，如医院获得条件 (HAC),患者安全指标 (PSI) 和 Elixhauser 措施。这种扩展方法为验证人员提供了多样化的和不断发展的编码，临床质量和收入完整性概念，同时为我们服务的卫生组织贡献着有意义的价值。这是一个以生产为中心的角色，具有既定的生产力，质量和性能预期，适合于那些在高绩效团队环境中成长的人。成功的团队成员始终符合定义的业绩标准，同时保持高度准确性和细节关注。Kodiak 致力于创造一个协作，支持和高度参与的团队环境，人们可以做有意义的工作，建立自己的专业知识，并享受成为生长企业的一部分。随着 DRG 验证实践的不断扩大，团队成员有机会拓展自己的能力，承担新的挑战，追求专业成长和职业进步。要求资格 ·至少需要以下一个凭据：认证编码专家 (CCS),注册卫生信息技术人员 (RHIT),注册健康信息管理员 (RHIA) 或认证入院患者编码器 (CIC). ·最低5年的住院人编码，CDI,DRG 验證或收入完整性经验，至少3年担任 DRG 验证者。·对 ICD-10-CM 和 ICD-10 -PCS 编码系统的先进知识。· MS-DRG 强大的理解。
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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. Our mission is to simplify and optimize processes, so healthcare providers can focus on delivering excellent patient care.
Position Summary
The DRG Validator plays an integral role within Kodiak’s Revenue Integrity Optimization team, helping healthcare organizations improve coding accuracy, compliance, quality, and reimbursement. Working alongside an experienced, U.S.-based team, Validators perform comprehensive inpatient coding and clinical validation reviews across both MS-DRG and APR-DRG methodologies.
DRG validation at Kodiak goes beyond traditional inpatient coding review, incorporating broader clinical and quality considerations such as Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), and Elixhauser measures. This expanded approach provides Validators exposure to a diverse and evolving range of coding, clinical quality, and revenue integrity concepts while contributing meaningful value to the healthcare organizations we serve.
This is a production-focused role with established productivity, quality, and performance expectations suited for individuals who thrive in being part of a high performing team environment. Successful team members consistently meet defined performance standards while maintaining a high degree of accuracy and attention to detail.
Kodiak is committed to creating a collaborative, supportive, and highly engaged team environment where people can do meaningful work, build their expertise, and enjoy being part of a growing business. As the DRG Validation practice continues to expand, team members have opportunities to broaden their capabilities, take on new challenges, and pursue professional growth and career advancement.
Qualifications
Required
- At least one of the following credentials is required: 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 with 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.
- Demonstrates strong computer literacy, with the ability to efficiently navigate electronic medical record (EMR) systems, DRG grouping software, Microsoft applications, and other technology platforms required to perform coding and clinical validation reviews.
Preferred
- Certified Documentation Integrity Practitioner (CDIP) or Clinical Documentation Integrity Specialist (CDIS)
- Knowledge of payer reimbursement methodologies.
- Experience with quality indicators, PSIs, HACs, and risk-adjustment methodologies.
- Prior consulting or client-facing experience.
- Familiarity with compliant physician query practices and clinical validation reviews.
What Makes Kodiak Different
- Growing business and meaningful opportunity - Join an established DRG Validation business experiencing strong year-over-year growth and continued investment in its future.
- Competitive total rewards - Receive competitive compensation and a comprehensive benefits package designed to support team members and their families.
- Invest in your professional credentials - Kodiak supports continued professional development by providing access to continuing education units (CEUs) and reimbursement for eligible credential renewals.
- Experienced, U.S.-based team - Collaborate with colleagues across the United States who bring deep expertise in coding, clinical validation, CDI, and revenue integrity.
- A culture built around people - Be part of a collaborative, supportive, and highly engaged team committed to its people and the healthcare organizations we serve.
- Opportunity to grow with us - Expand your expertise, take on new challenges, and pursue professional development and career advancement as the practice continues to grow
- Work that goes beyond traditional DRG validation - Build expertise across MS-DRG and APR-DRG reviews, coding and clinical validation, compliance, reimbursement integrity, and quality measures including HACs, PSIs, and Elixhauser measures.
Candidates must be legally authorized to work in the United States. This position is not eligible for employment visa sponsorship now or in the future.
Originally posted on Himalayas