Qualifications and Education Requirements
- Should have qualification of MBBS (Indian or non-Indian MBBS).
- Mandatory Coding Certification from AHIMA/AAPC - (CCS, CIC).
- Good Analyzing & Communication skills (Written & Verbal).
Preferred Experienced Skills
- Knowledge on RCM & DRG methodology (optimizing will be an added advantage.
- Self-Learning & Goal-oriented, Organized team player.
- Basic Computer Skills & MS-office Suite.
- Evaluating and Trending Down Errors and preparing Corrective Action Plan - for Error Free Claims.
- Abstraction of ICD/PCS from Medical Records adhering to IPPS (Inpatient Payment Prospective System).
- Concurrent and retrospective medical record review for defined patient populations to identify opportunities for documentation improvement and integrity
- Serve as CDI representative for DRG validation audits, HAC.
- Query auditing for compliance and collaborating with Health Information Management (HIM)
- Should have good knowledge on MS-DRG & APR DRG
- HIPAA Compliant for PHI.
- Meeting Minimum Expected Standard Benchmarks (Quality above 98%) (Production above 98% to 100%).
- Flexibility on Shifts & Roster weekends as part of Operational Requirement.
Job Types: Full time, Permanent
Pay: ₹70,000.00 - ₹120,000.00 per month
Ability to commute/relocate:
- Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (required)