Inpatient DRG Validator and Coding Analyst

Kodiak Solutions

1d

About The Position

The Inpatient DRG Validator plays an integral role within Kodiak Solutions’ 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. The role provides exposure to a diverse and evolving range of coding, clinical quality, and revenue integrity concepts while contributing value to healthcare organizations.

This is a production-focused role with established productivity, quality, and performance expectations. Successful team members consistently meet defined performance standards while maintaining accuracy and attention to detail. Kodiak describes its team environment as collaborative, supportive, and highly engaged, with opportunities to broaden capabilities, take on new challenges, and pursue professional growth and career advancement as the practice expands.

Requirements

• Hold at least one of the following credentials: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Inpatient Coder (CIC).
• Have a minimum of 5 years of inpatient coding, CDI, DRG validation, or revenue integrity experience, including at least 3 years performing as a DRG validator.
• Have advanced knowledge of ICD-10-CM and ICD-10-PCS coding systems.
• Have a strong understanding of MS-DRG and APR-DRG methodologies.
• Demonstrate excellent analytical, written, and verbal communication skills.
• Demonstrate strong computer literacy and the ability to efficiently navigate EMR systems, DRG grouping software, Microsoft applications, and other technology platforms required for coding and clinical validation reviews.
• Be legally authorized to work in the United States; employment visa sponsorship is not available now or in the future.

Nice To Haves

• Certified Documentation Integrity Practitioner (CDIP) or Clinical Documentation Integrity Specialist (CDIS) credential.
• 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.

Responsibilities

• Perform comprehensive inpatient coding and clinical validation reviews using MS-DRG and APR-DRG methodologies.
• Review coding and clinical considerations related to HACs, PSIs, and Elixhauser measures.
• Meet established productivity, quality, and performance expectations while maintaining accuracy and attention to detail.

Benefits

• Competitive compensation and a comprehensive benefits package designed to support team members and their families.
• Access to continuing education units (CEUs) and reimbursement for eligible credential renewals.
• Opportunities for professional development and career advancement.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed