Job Description:Conduct comprehensive reviews of inpatient medical records to validate that assigned ICD-10-CM/PCS codes and DRG classifications accurately reflect the documented clinical conditions and procedures.

- Ensure compliance with IPPS (Inpatient Prospective Payment System) methodology , CMS guidelines, and official coding rules when determining DRG assignment.
- Verify accuracy and specificity of diagnoses, procedures, POA indicators, and discharge disposition , ensuring documentation supports all coding decisions.
- Identify documentation gaps and collaborate with clinical teams to obtain necessary clarifications for accurate code assignment.
- Mentor, coach, and support coding staff , providing guidance on complex DRG and inpatient coding scenarios.
- Deliver feedback and ongoing education to both coders and Clinical Documentation Improvement (CDI) specialists to improve coding quality and documentation completeness.
- Perform routine coding quality audits to assess accuracy, identify trends, and recommend corrective actions.
- Analyze audit findings and prepare detailed reports , highlighting errors, patterns, and opportunities for improvement.
- Stay updated on regulatory changes , payer guidelines, and industry best practices related to IPPS, DRG validation, and inpatient coding.




- Participate in cross-functional meetings with coding, CDI, compliance, and operations teams to strengthen documentation and coding accuracy across the organization

Responsibilities: ADDITIONAL AND ESSENTIAL RESPONSIBILITIES : - Follow every aspect of SOP without fail

- Complete received Audits with Quality

- To achieve Quality and production target

- Follow project related protocols and instructions

- Escalate issues, identify trends...

- Update all the logs like productivity, Clarification log, and any other logs applicable, daily

- Check with Manager /TL in case of clarifications

- Ensure compliance of entire team for HIPAA,OIG

- Good excel skills

- Flexibility

- Positive Communication

Qualifications: Qualifications: Bachelors in nursing preferable / bachelor’s in science.

**Certification

- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder**

Experience: Minimum 2 years’ experience in IP DRG coding or auditing.

Working Hours: 40 HOURS PER WEEK, FULL TIME EMPLOYEE

Skills and abilities : - Auditing experience on IP DRG.

- Knowledge in Microsoft outlook/excel/word.

**- Exposure on 3M software and NLP tool.

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