IPDRG – CDI (Clinical Documentation Improvement/Investigation)

JD: INDIA

Minimum 3 years of experience in CDI/ IP DRG Coding with strong focus on IP.

Strong knowledge on APR-DRG/MS-DRG, ICD-10 CM/PCS coding, clinical guidelines with strong understanding of disease processes, Clinical indicators, Treatments.

HAC’s, PSI’s & Mortality models.

· Experience performing concurrent CDI Final review/DRG reconciliation and reports DRG mismatch disagreements.

· Facilitating and obtaining appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality.

· Should have hands on experience on how to raise compliant query. Interacting directly with physicians to query for more specific documentation and to provide documentation guidelines from ICD-9 and ICD-10 standards.

· Creating documentation education classes to general surgery residents, increasing the levelling of reporting which lead to increase revenues.





· Clinically evaluate how the health record translates into coded data, including review of provider and other clinician documentation, lab results, diagnostic information, and treatment plans.

· Communicate with providers either through discussion or in writing (e.g., formal queries) regarding missing, unclear, or conflicting health record documentation, and clarify the information as warranted.

· Solid experience performing IP Document reviews to clarify Dx/Px’s where inadequate/conflicting documentation is suspected.

Tools & Certifications:

Working experience with Epic & 3M 360.

Any of CCS/CIC/CDIP Certified

Qulalification:

- With at least 3 years of Clinical Documentation Improvement Specialist experience
- With at least 3-8 years of inpatient coding (IPDRG)
- Job Location: Bangalore, Chennai, Hyderabad, Salem, Trichy & Pune
- Designation: QA / SME.
- Mode: WFO

📌 SME – CDI Health care ( IMMEDIATE JOINERS ) (Chennai)
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