Location:
Chennai Preference: Immediate joiners or candidates available to join within 30 days

Experience:
12+ Years
• Should have hands-on experience in the IPDRG
- Payer side
• Hands-on experience in handling multiple payors and writing IP DRG appeal letters.
• Robust payor-specific guidelines understanding, ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinics, and all other regulatory guidelines.
• Lead end-to-end inpatient DRG appeals program, covering DRG downgrades, clinical validation denials, and coding validation denials from all payors.
• Ensure every appeal is backed by accurate MS-DRG and APR-DRG assignment, correct principal diagnosis selection,



and proper MCC/CC capture under ICD-10-CM/PCS Official Guidelines and Coding Clinic.
• Direct the review of medical records to confirm documentation supports the billed DRG and decide when a denial should be accepted rather than appealed.
• Analyze denial reasons, change rate and other quality parameters and implement corrective action plans.
• Available to manage Manila team during the beginning of their shift.
• Must have CCS from AHIMA and be ready to work from Chennai office. Kindly share your resume at [email protected]

📌 Senior Manager (Chennai)
🏢 Access Healthcare
📍 Chennai