Job Title: DRG Validation Specialist

Location: Chennai

Experience: 3+ Years

Notice Period: Immediate Joiners Preferred

Job Description:

We are looking for experienced DRG Validation Specialists with 3+ years of experience in medical coding and DRG validation. Candidates should have strong knowledge of DRG assignment, ICD-10-CM/PCS, MS-DRG, and reimbursement guidelines. Certification in CPC, CCS, or equivalent is acceptable.

Key Responsibilities:

- Validate and audit DRG assignments for accuracy and compliance.
- Review medical records and ensure correct ICD-10-CM/PCS and DRG coding.
- Identify coding discrepancies and recommend appropriate corrections.
- Ensure compliance with coding standards, payer guidelines, and regulatory requirements.
- Collaborate with coding and clinical teams to resolve documentation queries.
- Maintain quality and productivity targets.

Mandatory Skills:

- 3+ years of experience in DRG Validation/DRG Auditing or any coding experience.
- Solid knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG, and coding guidelines.
- Certification: CPC or CCS (either is acceptable).
- Good analytical and communication skills.

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