01 Oct
|
CorroHealth
|
Hyderabad
01 Oct
CorroHealth
Hyderabad
About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Job Requisition – CDI specialist/Clinical Auditor (Offshore / India)
Job Title
CDI specialist/ Clinical Auditor – Offshore (India)
Job Summary
The DRG Auditor (Offshore) is responsible for performing high‑quality inpatient DRG audits to ensure accurate MS‑DRG assignment in compliance with ICD‑10‑CM/PCS coding guidelines, CMS regulations, and client‑specific requirements. This role supports onshore teams by validating coding accuracy, CC/MCC capture, and documentation sufficiency to ensure reimbursement integrity and audit readiness.
Key Responsibilities
• Perform retrospective inpatient DRG audits for U.S. hospital accounts
• Validate principal diagnosis, secondary diagnoses, procedures, and DRG assignment
• Review charts for accurate CC/MCC capture, SOI/ROM, and clinical validity
• Ensure compliance with ICD‑10‑CM/PCS Official Coding Guidelines, Coding Clinic, and CMS regulations
• Identify DRG shifts, missed diagnoses, and documentation‑related issues
• Provide explicit audit findings with s
📌 CDI Specialist (Hyderabad)
🏢 CorroHealth
📍 Hyderabad