Quality Auditor (India)

Quality Auditor (India)

06 Aug
|
Netrolynx AI
|
India

06 Aug

Netrolynx AI

India

About The Company Med-Metrix is a leading healthcare analytics and revenue cycle management company dedicated to delivering innovative solutions that optimize healthcare operations and improve patient outcomes. With a strong focus on quality, compliance, and technological advancement, Med-Metrix partners with healthcare providers, payers, and other stakeholders to streamline processes, enhance accuracy, and ensure regulatory adherence. Our commitment to excellence and continuous improvement has established us as a trusted name in the healthcare industry, driven by a team of passionate professionals committed to making a difference.

About The Role We are seeking an experienced IPDRG QA (Quality Analyst) to join our dynamic team at Med-Metrix. In this critical role, you will be responsible for conducting detailed inpatient coding audits, verifying the accuracy of ICD-10-CM, ICD-10-PCS, and MS-DRG coding assignments. Your expertise will ensure that our coding processes align with industry standards and client-specific requirements, thereby maintaining the highest levels of quality and compliance.

The ideal candidate will have a strong background in inpatient coding audits, excellent analytical skills, and the ability to support continuous quality improvement initiatives within our organization.

Qualifications 4 to 10 years of professional experience in IPDRG quality auditing or related fields, with at least 1 year dedicated to auditing activities.

CCS (Certified Coding Specialist) certification is mandatory, demonstrating your proficiency in coding standards and practices.

Extensive knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG methodology is essential for accurate auditing and validation.

Strong analytical skills with the ability to identify documentation gaps and provide actionable feedback.

Excellent communication skills to effectively collaborate with coding teams and stakeholders.





Detail-oriented with a focus on maintaining high standards of quality and compliance.

Responsibilities Perform comprehensive quality audits of inpatient DRG coding to ensure accuracy and adherence to regulatory guidelines.

Review and validate ICD-10-CM, ICD-10-PCS, and MS-DRG code assignments, identifying discrepancies and areas for improvement.

Ensure all coding activities comply with industry standards, client-specific requirements, and internal quality benchmarks.

Identify documentation gaps during audits and provide constructive feedback to coding teams for continuous improvement.

Support coder development through targeted training and guidance based on audit findings.

Conduct regular quality reviews and participate in calibration sessions to maintain consistency across audits.

Meet and exceed quality and productivity expectations, contributing to the overall efficiency of the department.

Maintain detailed audit records, prepare reports, and communicate findings effectively to stakeholders.

Advantages At Med-Metrix, we offer a comprehensive benefits package designed to support our employees' well-being and professional growth. Our package includes competitive salary structures, health insurance coverage, and wellness programs. We also provide opportunities for continuous learning and development through training sessions, certifications, and career advancement programs.

Our work environment fosters collaboration, innovation, and a culture of excellence, ensuring that every team member feels valued and empowered to contribute to our shared success.

Equal Opportunity Med-Metrix is an equal opportunity employer committed to fostering an inclusive workplace. We do not discriminate based on race, gender, age, religion, national origin, disability, or any other protected characteristic. We believe diversity enhances our innovation and success, and we are dedicated to providing a work environment where everyone can thrive and reach their full potential.

📌 Quality Auditor (India)
🏢 Netrolynx AI
📍 India

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