17 Drg Validation Jobs

The Quality Analyst IP DRG ensures accurate inpatient coding, DRG validation, and compliance with ICD-10-CM/PCS and CMS guidelines. The role supports coding quality, identifies trends, provides feedback, and partners with operations Required Candidate profile Graduate in Life Sciences/Allied Health. Certification: CCS/CIC/CPC (mandatory). 4 to 5 years of IP coding experience; 1+ year in DRG audits preferred. Strong knowledge of MS-DRG

Open Positions (Specialty Wise) IPDRG Coder / QA Locations: Chennai, Bangalore, Hyderabad, Trichy Surgery / SDS Coder / QA Locations: Chennai, Bangalore, Hyderabad Denials – Coder Location: Chennai Surgical Pathology – QA Location: Chennai Radiology – Coder / QA Location: Chennai E&M OP – Coder / QA Locations: Chennai, Bangalore, Hyderabad IVR – Coder / QA Location: Chennai E&M OP / ED – CDI SME Location: Hyderabad Home Health – Coder / QA Locations: Chennai, Bangalore, Hyderabad, Trichy ED Pro – Coder Locations: Chennai, Hyderabad ED FAC – QA / SME Location: Trichy Eligibility Criteria Certification mandatory: CPC / CCS / CIC Minimum 1 year of relevant specialty coding experience Strong kno...

Role & responsibilities Perform accurate IPDRG inpatient coding as per client and facility guidelines. Validate assigned DRGs and ensure coding accuracy and compliance. Review medical records for documentation completeness and coding clarity. Conduct QA audits , identify errors, and support quality improvement initiatives. Achieve required productivity and quality benchmarks consistently. Ensure adherence to ICD-10-CM, DRG grouping rules, and regulatory standards . Work closely with Team Leads/QAs to resolve discrepancies and maintain coding integrity. Stay updated with coding updates, payer guidelines, and DRG revisions . Preferred candidate profile 1 to 5 years of experience in IPDRG Codin...

HI, We have the below openings for our Health care Client Location: Hyderabad Exp: 3- 15 years Required skill set Expert in any of the below ICD-10 PCS IP DRG MS DRG APR DRG DRG Validation If you are interested and willing to explore opportunity. Please share your CV to vivitha.d@randstad.in Thanks & regards Vivitha

HI, We have the below openings for our Health care Client Location: Hyderabad Exp: 3- 15 years Required skill set Expert in any of the below ICD-10 PCS IP DRG MS DRG APR DRG DRG Validation If you are interested and willing to explore opportunity. Please share your CV to vivitha.d@randstad.in Thanks & regards Vivitha

Role Overview As an IP DRG Auditor at Pena4, your main responsibility will involve conducting audits to ensure the accuracy of inpatient coding and DRG assignments according to regulatory and organizational standards. Your daily tasks will include reviewing medical records, identifying discrepancies, and providing feedback to enhance coding quality and documentation practices. This full-time role, based in Visakhapatnam, requires close collaboration with internal teams and medical staff to support revenue optimization efforts effectively. Key Responsibilities - Reviewing medical records to validate inpatient coding and DRG assignments - Analyzing clinical documentation to ensure compliance w...

Dear Job Aspirants, Greetings From Access Healthcare.!! We are looking to hire I P DRG coders & Quality Auditors, who has 1-9 years of relevant experience in IPDRG coding . This is a permanent role. We have multiple job locations: Noida, Coimbatore , Pune , Mumbai , Trivandrum, Chennai Experience level : 1 - 9 Years Location : Noida, Chennai, Trivandrum, Coimbatore, Pune and Mumbai Should have a good knowledge in Anatomy Physiology and work experience in coding. Candidate should have good Communication and Interpersonal Skills Certified Coders can apply only Interview Day - Mon to Fri ( Virtual Interviews) Week Off : Saturday & Sunday Fixed Off Salary: Best in the Industry. Shift: Day Shift ...

Role & responsibilities : * Current Openings : - Ipdrg Coders - Chennai & Hyderabad ( 3 - 12 Yrs ) - Ipdrg QA - Chennai & Hyderabad ( 3 - 12 yrs ) - Ipdrg Trainer - Hyderabad Only ( 3 - 6 yrs ) Medical Coder IPDRG :- Chennai & Hyderabad ( 3 - 8 Yrs ) Review, analyze, and code diagnoses and procedures for inpatient charts using ICD-10-CM and ICD-10-PCS. Assign accurate MS-DRGs or APR-DRGs based on documentation. Ensure compliance with federal coding guidelines and hospital coding policies. Maintain coding productivity and quality standards as per client SLA. IPDRG Quality Auditor : Conduct internal audits for inpatient coded charts to ensure accuracy and compliance. Provide feedback and train...

Role & responsibilities : * Current Openings : - Ipdrg Coders - Chennai & Hyderabad ( 3 - 8 Yrs ) - Ipdrg QA - Chennai & Hyderabad ( 3 - 12 yrs ) - Ipdrg Trainer - Hyderabad Only ( 3 - 12 yrs ) Medical Coder IPDRG :- Chennai & Hyderabad ( 3 - 8 Yrs ) Review, analyze, and code diagnoses and procedures for inpatient charts using ICD-10-CM and ICD-10-PCS. Assign accurate MS-DRGs or APR-DRGs based on documentation. Ensure compliance with federal coding guidelines and hospital coding policies. Maintain coding productivity and quality standards as per client SLA. IPDRG Quality Auditor : Conduct internal audits for inpatient coded charts to ensure accuracy and compliance. Provide feedback and train...

About CoverSelf: CoverSelf empowers US healthcare payers with a truly next-generation, cloud-native, holistic, and customizable platform designed to prevent and adapt to the ever-evolving inaccuracies in healthcare claims and payments. By reducing complexity and administrative costs, we offer a unified, healthcare-dedicated platform backed by top VCs like BeeNext, 3One4 Capital, and Saison Capital. Position Overview: To play a critical role within the CoverSelf Content team, contributing to the development, enhancement and maintenance of medical policy content. This position is responsible for researching new medical policies, ensuring quality assurance, and identifying opportunities to expa...

Role & responsibilities Huge Hiring's for IPDRG Roles & Specialty: IPDRG Coder Up to 13 LPA (IPDRG 2 yrs exp with CPC also fn) IPDRG QA Up to 16 LPA IPDRG Trainer Up to 16 LPA IPDRG Validation (Lead Analyst role) – Up to 18 LPA Locations: Hyderabad | Chennai | Noida Experience: Minimum 1 yr+ in respective role (on paper) Notice Period: Immediate to 60 days Relieving: Mandatory Certification: CCS / CIC only Interested? Send your updated resume via WhatsApp to: HR Surya – 8125761519 Preferred candidate profile Hiring for IPDRG coder /QA/Trainer /validation || Up to 18 LPA

Role & responsibilities : Medical Coder IPDRG : Review, analyze, and code diagnoses and procedures for inpatient charts using ICD-10-CM and ICD-10-PCS. Assign accurate MS-DRGs or APR-DRGs based on documentation. Ensure compliance with federal coding guidelines and hospital coding policies. Maintain coding productivity and quality standards as per client SLA. IPDRG Quality Auditor : Conduct internal audits for inpatient coded charts to ensure accuracy and compliance. Provide feedback and training to coding teams based on audit findings. Work closely with QA managers and compliance teams to identify trends and gaps. Prepare audit reports and participate in client discussions when needed. Prefe...

Role & responsibilities : Medical Coder IPDRG : Review, analyze, and code diagnoses and procedures for inpatient charts using ICD-10-CM and ICD-10-PCS. Assign accurate MS-DRGs or APR-DRGs based on documentation. Ensure compliance with federal coding guidelines and hospital coding policies. Maintain coding productivity and quality standards as per client SLA. IPDRG Quality Auditor : Conduct internal audits for inpatient coded charts to ensure accuracy and compliance. Provide feedback and training to coding teams based on audit findings. Work closely with QA managers and compliance teams to identify trends and gaps. Prepare audit reports and participate in client discussions when needed. Prefe...

Role & responsibilities : Medical Coder IPDRG : Review, analyze, and code diagnoses and procedures for inpatient charts using ICD-10-CM and ICD-10-PCS. Assign accurate MS-DRGs or APR-DRGs based on documentation. Ensure compliance with federal coding guidelines and hospital coding policies. Maintain coding productivity and quality standards as per client SLA. IPDRG Quality Auditor : Conduct internal audits for inpatient coded charts to ensure accuracy and compliance. Provide feedback and training to coding teams based on audit findings. Work closely with QA managers and compliance teams to identify trends and gaps. Prepare audit reports and participate in client discussions when needed. Prefe...

Dear Job Aspirants, Greetings From Pacific BPO Pvt. Ltd.!! We are looking to hire I P DRG coders & Quality Auditors, who has 1-9 years of relevant experience in IPDRG coding . This is a permanent role. We have multiple job locations: Noida, Coimbatore , Pune , Mumbai , Trivandrum, Chennai Experience level : 1 - 9 Years Location : Noida, Chennai, Trivandrum, Coimbatore, Pune and Mumbai Should have a good knowledge in Anatomy Physiology and work experience in coding. Candidate should have good Communication and Interpersonal Skills Certified Coders can apply only Interview Day - Mon to Fri ( Virtual Interviews) Week Off : Saturday & Sunday Fixed Off Salary: Best in the Industry. Shift: Day Shi...

Dear Job Aspirants, Greetings From Pacific BPO Pvt. Ltd.!! We are looking to hire Quality Auditors, who has 4-10 years of relevant experience in IPDRG coding . This is a permanent role. We have multiple job locations: Noida, Coimbatore , Pune , Mumbai , Trivandrum, Chennai Experience level : 4 - 10 Years Location : Noida, Chennai, Trivandrum, Coimbatore, Pune and Mumbai Should have a good knowledge in Anatomy Physiology and work experience in coding. Candidate should have good Communication and Interpersonal Skills Certified Coders can apply only Interview Day - Mon to Fri ( Virtual Interviews) Week Off : Saturday & Sunday Fixed Off Mode- Work from Office (5 Days) Salary: Best in the Industr...

Hello Coders, We are hiring Certified Medical Coders and Quality Analyst for Chennai and Hyderabad Location Specialities are given below. IPDRG COders & QA - Location : Hyderabad & Chennai. Surgery Coders & QA - Location : Chennai. IVR Coders - Location : Chennai. Experience - 2 Years to 15 Years. Preferred candidate profile Certified coder: CIC / CCS / CPC (Mandatory) Strong experience in Medical coding & Auditing (IPDRG, Surgery and IVR) Familiarity with U.S. healthcare guidelines and payer policies Strong knowledge of ICD-10-CM, ICD-10-PCS Education : Any graduate (Life Science/Paramedical preferred) Coding certification: AAPC / AHIMA (mandatory) Perks and Benefits : Health Insurance Cert...