JOB SUMMARY
We are seeking a highly experienced Senior Inpatient DRG Coding professional with a minimum of 10
years of experience. The ideal candidate should currently be working in a QA, SME, Process Coach, Senior Auditor, or Inpatient DRG Trainer role and demonstrate robust expertise
in ICD-10-CM, ICD-10-PCS, MS-DRG, inpatient coding guidelines, clinical documentation, and coding
quality. Candidates with hands-on Clinical Documentation Improvement (CDI) experience are strongly
preferred, particularly those who can connect clinical documentation, coding accuracy, DRG assignment, and revenue-impacting opportunities.

KEY RESPONSIBILITIES
Perform and/or oversee Inpatient DRG coding and auditing for US healthcare accounts.
Review inpatient medical records for accurate assignment of ICD-10-CM, ICD-10-PCS, MS-DRG/APR-
DRG, POA indicators, CC/MCC, HAC considerations, and discharge disposition.
 Validate principal diagnosis selection and application of Official ICD-10-CM/PCS Coding Guidelines
and UHDDS principles.
 Review complex inpatient cases involving sepsis, respiratory failure, AKI,



encephalopathy, cardiac
conditions, stroke, trauma, infections, surgical cases, complications, and other high-acuity conditions.
 Validate ICD-10-PCS code selection, including root operation, body part, approach, device, qualifier,
and procedure details.
 Analyze DRG shifts, reimbursement-impacting coding errors, missed diagnoses/procedures,
sequencing issues, and documentation-related concerns.
 Identify appropriate CC/MCC capture opportunities based on clinical documentation and applicable
coding guidelines.
 Act as a subject matter expert for complex coding cases, escalations, and coding-policy questions.
 Provide coding guidance, mentoring, and process coaching to production coders.
 Develop and deliver training programs for Inpatient DRG coders, including refresher training based on
audit findings and recurring error trends.
 Create coding examples, case studies, competency

📌 Inpatient (IP) DRG Auditor (India)
🏢 Bulwark Health
📍 India