4 Drg Grouping Jobs

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2.0 - 6.0 years

0 Lacs

chennai, tamil nadu

On-site

As an IPDRG specialist at Shiash Info Solutions, you will play a crucial role in coding, grouping, and reviewing patient records in alignment with established guidelines. Your responsibilities will include: - Coding and validating clinical data - Ensuring compliance with healthcare regulations - Collaborating with medical staff to clarify documentation - Assisting in audits to enhance data accuracy and reimbursement To excel in this role, you are required to possess the following qualifications: - Coding skills in ICD-10, CPT, and HCPCS coding - Proficiency in DRG grouping and clinical data validation - Knowledge of healthcare regulations and compliance guidelines - Excellent analytical and ...

Posted 3 weeks ago

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3.0 - 8.0 years

0 Lacs

hyderabad

Work from Office

Preferred candidate profile Candidates who is currently based out in Hyderabad is only eligible Role & responsibilities Perform concurrent reviews of inpatient records using EHR platforms Identify documentation gaps and issue compliant, patient-specific queries Apply knowledge of DRG classification, ICD-10-CM/PCS, and coding guidelines Maintain accurate logs of reviews, query status, and follow-ups in designated systems Achieve productivity and quality benchmarks under the CDI program

Posted 1 month ago

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1.0 - 4.0 years

2 - 5 Lacs

Hyderabad, Telangana, India

On-site

Key Responsibilities: Review inpatient medical records and code all diagnoses and procedures Assign appropriate MS-DRGs/APR-DRGs based on the principal diagnosis, procedures, and secondary conditions Use ICD-10-CM & ICD-10-PCS codes and ensure accuracy with POA indicators Validate DRG grouping using tools such as 3M Encoder / TruCode / Optum Ensure compliance with Official Coding Guidelines, CMS rules , and client-specific protocols Work with auditors and QA teams to resolve queries and improve documentation Meet or exceed productivity and quality benchmarks (9598% coding accuracy) Eligibility Criteria: Education: Degree in Life Sciences / Nursing / Paramedical / Allied Health Certifications...

Posted 2 months ago

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3.0 - 8.0 years

0 Lacs

Hyderabad

Work from Office

Preferred candidate profile Candidates who is currently based out in Hyderabad is only eligible Role & responsibilities Perform concurrent reviews of inpatient records using EHR platforms Identify documentation gaps and issue compliant, patient-specific queries Apply knowledge of DRG classification, ICD-10-CM/PCS, and coding guidelines Maintain accurate logs of reviews, query status, and follow-ups in designated systems Achieve productivity and quality benchmarks under the CDI program

Posted 3 months ago

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