Location: Mumbai (Work from Office)

Experience: 3 - 8 Years

Shift: US Shift

Notice Period: Immediate to 30 Days Preferred

Job Summary

Eclat Health Solutions is hiring experienced Revenue Integrity IPDRG Coders for our Inpatient Revenue Integrity team.

Revenue Integrity experience in IPDRG/Inpatient coding is mandatory.

We are looking for candidates with solid experience in DRG validation, inpatient coding audits, documentation review, coding compliance, denial analysis, and Revenue Integrity functions.

General IPDRG coders without Revenue Integrity exposure will not be contacted.

HCC, Risk Adjustment, AR Calling, Payment Posting, and Non-IPDRG profiles will not be considered.

Required Specialty Exposure

Revenue Integrity

IPDRG

Inpatient Coding

DRG Validation

Facility Coding

Coding Audits

Documentation Review

Revenue Leakage Analysis

Coding Compliance

Denial Analysis

Key Responsibilities





Review inpatient medical records and perform DRG validation.

Assign accurate ICD-10-CM and ICD-10-PCS codes.

Identify documentation deficiencies and coding opportunities.

Perform Revenue Integrity audits and validation reviews.

Analyze DRG impacts and reimbursement opportunities.

Support denial prevention and documentation improvement initiatives.

Ensure compliance with CMS, MS-DRG, and payer guidelines.

Maintain quality and productivity standards.

Mandatory Skills

Revenue Integrity, IPDRG, Inpatient Coding, DRG Validation, ICD-10-CM

ICD-10-PCS, 3M Encoder, Facility Coding, Coding Audits, Documentation Review, Revenue Leakage Analysis, Denial Management

Preferred Certifications, CCS, CPC, CIC

📌 Revenue Integrity Coder and QA in IPDRG (Navi Mumbai)
🏢 ECLAT Health Solutions
📍 Navi Mumbai