11 Nov
|
ECLAT Health Solutions
|
Mumbai
11 Nov
ECLAT Health Solutions
Mumbai
Open Positions
- 5 Revenue Integrity Coders
- 1 Revenue Integrity Quality Analyst (QA)
Location
Mumbai
Experience
- Coder: 3 to 8 Years
- QA: 6 to 12 Years
Shift
US Shift
Job Responsibilities
- Review and validate inpatient coding and DRG assignment.
- Perform DRG validation and revenue integrity audits.
- Identify missed MCC/CC opportunities.
- Validate ICD-10-CM and ICD-10-PCS code assignment.
- Review documentation gaps impacting reimbursement.
- Analyze DRG downgrades, denials, and payer audit findings.
- Support CDI and Coding teams to improve documentation integrity.
- Ensure compliance with Coding Clinic, CMS, and industry guidelines.
Required Skills
- IPDRG
- MS-DRG
- APR-DRG
- ICD-10-CM
- ICD-10-PCS
- MCC/CC Capture
- POA Validation
- Revenue Integrity Auditing
- Denial Prevention
- Documentation Reviews
Preferred Certifications
- CCS
- CPC
- CPMA (for QA)
📌 Revenue Integrity - IPDRG (Mumbai)
🏢 ECLAT Health Solutions
📍 Mumbai