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 (Mandatory): CPC, CCS, or CIC (AAPC / AHIMA) Experience: 26 years in inpatient coding , with strong DRG coding knowledge Familiar with hospital EMRs like Epic, Cerner, Meditech, etc. Key Skills: Expert in ICD-10-CM, ICD-10-PCS , DRG grouping, and hospital billing processes Deep understanding of complications, comorbidities (CC/MCC), SOI/ROM , and query practices Familiarity with coding edits (MCE, CCI) and reimbursement impact High attention to detail and clinical understanding of complex inpatient cases

Posted 1 month ago

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Clinical Documentation Specialist Mancer Consulting Services

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

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