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 solid 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.
- Strong 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.