14 Nov
|
BIG Language Solutions
|
Noida
14 Nov
BIG Language Solutions
Noida
Job Title
- Inpatient Clinical Data Quality and Coding Specialist Big Language Solutions is hiring for DOCTUS DATA SERVICES.” Job Summary : We are hiring experienced Inpatient Clinical Data Quality and Coding Specialists to support accurate inpatient clinical documentation, coding, DRG assignment, data quality, risk adjustment, and compliance. Minimum Requirements
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Experience:
Minimum 7 years in US healthcare focused on inpatient coding, data quality audits, ICD-10-CM/PCS coding, and DRG assignments.
- Clinical Documentation: In-depth understanding of documentation criteria for major conditions, severity of illness, and coding compliance.
- Guidelines and Regulations: Familiarity with payer-specific policies, official coding guidelines, and regulatory standards, including CMS, AHIMA, and Joint Commission requirements.
- Systems: Proficiency with EMR systems such as Epic, Oracle Cerner, or Meditech and coding tools such as 3M, Nuance, or Optum.
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Education:
Science graduate or postgraduate.
- Credentials: Current AHIMA and/or AAPC certification(s); CCS and/or CDIP/CCDS.
- Communication: Outstanding verbal and written English proficiency.
- Work
Location:
Ready to work from our offices in Hyderabad, Vizag, or Noida. Responsibilities Conduct comprehensive inpatient clinical documentation reviews and initiate queries when needed, including for targeted comorbidities and associated risks. Audit inpatient records to validate ICD-10-CM/PCS coding and DRG assignments. Analyze coding data for discrepancies, trends, and improvement opportunities. Identify variables affecting mortality, risk adjustment, and severity of illness using applicable tools and DRG models. Ensure diagnoses supporting model variables are documented as present on admission when appropriate. Validate severity-of-illness documentation and initiate queries when needed. Serve as a resource for inpatient coding, DRG assignment, and severity-of-illness assessment. Collaborate with coding, physician, and CDI teams to resolve documentation and coding discrepancies. Provide targeted education to coding and clinical teams on documentation and data quality improvement.
📌 Inpatient Clinical Data Quality and Coding Specialist (Noida)
🏢 BIG Language Solutions
📍 Noida