06 Sep
|
Vdart Software Services Private
|
Noida
06 Sep
Vdart Software Services Private
Noida
Job Description – Subject Matter Expert (SME) – IPDRG Medical Coding
Job Title: Subject Matter Expert (SME) – IPDRG
Function: Medical Coding / Clinical Operations
Locations: Chennai / Hyderabad / Noida
Experience: 6+ Years
Qualification: Any Graduation / Any Educational Background
Specialty: Inpatient DRG (IPDRG) Medical Coding & Auditing
Employment Type: Full-Time
Role Overview
We are looking for an experienced Subject Matter Expert (SME) – IPDRG Medical Coding with mandatory hands-on experience in IPDRG / Inpatient Medical Coding .
The ideal candidate should have robust expertise in IPDRG Coding, Inpatient Coding, DRG Validation, ICD-10-CM, ICD-10-PCS, Medical Coding Audits, Clinical Documentation Review, Coding Quality, Error Analysis, and Coder Education .
Educational background is flexible; however, strong and relevant IPDRG experience is mandatory for this role.
The SME will be responsible for auditing inpatient medical records, validating DRG assignments, identifying coding and documentation discrepancies, providing feedback to coders, analyzing error trends,
conducting training sessions, and participating in/leading calibration discussions.
Key Responsibilities
IPDRG Coding & Auditing
· Audit coded Inpatient / IPDRG medical records for accuracy, completeness, and compliance.
· Review and validate ICD-10-CM and ICD-10-PCS codes .
· Validate DRG / MS-DRG assignments based on clinical documentation.
· Review Principal Diagnosis, Secondary Diagnoses, Procedures, CC/MCC, and other relevant clinical information .
· Identify incorrect coding, missed codes, sequencing issues, documentation gaps, and DRG discrepancies.
· Ensure coding accuracy and adherence to applicable coding guidelines.
· Meet defined quality, productivity, and turnaround-time requirements.
DRG & Clinical Validation
· Perform detailed IPDRG / DRG Validation .
· Validate diagnoses and procedures against supporting clinical documentation.
· Identify coding discrepancies that could impact DRG assignm
📌 IPDRG-Medical Coding (Noida)
🏢 Vdart Software Services Private
📍 Noida