13 Aug
|
Crescendo Global Leadership Hiring India
|
Chennai
13 Aug
Crescendo Global Leadership Hiring India
Chennai
DRG Auditor Healthcare (Medical Coding) 2+ Years - Remote
Summary
We are looking for an experienced DRG Auditor with a solid background in Inpatient Medical Coding and DRG Auditing to join a growing healthcare services organization. The ideal candidate should have hands-on experience in reviewing inpatient medical records, validating DRG assignments, and ensuring coding accuracy in line with industry standards. Candidates with mandatory coding certifications and exposure to IPPS, ICD-10-CM/PCS, and 3M software will be preferred.
Location - Remote
Your Future Employer - A leading global healthcare solutions organization delivering high-quality medical coding, clinical documentation, and revenue cycle management services, known for its strong learning environment, quality-driven culture, and opportunities for long-term career growth.
Responsibilities
1. Reviewing inpatient medical records to validate the accuracy of assigned diagnosis, procedure codes, and DRG.
2. Ensuring clinical documentation is supporting all assigned diagnoses and procedures with the required specificity.
3.
Verifying discharge disposition, POA indicators, and compliance with IPPS guidelines.
4. Completing audits while consistently achieving defined quality and productivity targets.
5. Following standard operating procedures, project protocols, and quality guidelines without deviation.
6. Identifying coding trends, escalating quality concerns, and recommending corrective actions.
7. Updating productivity trackers, clarification logs, and audit reports on a daily basis.
8. Collaborating with Team Leads and Managers to resolve coding-related queries.
9. Mentoring coding professionals by providing constructive feedback and coding education.
10. Maintaining compliance with HIPAA, OIG, and organizational information security standards.
Requirements
1. Minimum 2 years of experience in IP DRG Coding or DRG Auditing.
2. Experience in Healthcare, Medical Coding, or Revenue Cycle Management indust
📌 DRG Auditor Healthcare (Chennai)
🏢 Crescendo Global Leadership Hiring India
📍 Chennai