DRG Validator

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.