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 prospects.
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