Qualifications and Education Requirements
Should have qualification of MBBS (Indian or non-Indian MBBS).
Mandatory Coding Certification from AHIMA/AAPC - (CCS, CIC).
Positive 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 positive 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)