Inpatient DRG Coding Expert

8 - 10 years

0 Lacs

Posted:1 week ago| Platform: Foundit logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Inpatient DRG Coding Expert:

We Are Hiring:

Doctus Data Services Pvt. Ltd

Why This Role Matters Now:

Healthcare Challenge:

Healthcare Challenge:

Healthcare Challenge:

Healthcare Challenge:

About the Role:

We are seeking seasoned inpatient coding experts who translate complex clinical documentation into accurate ICD-10-CM/PCS codes and defensible MS-DRG/APR-DRG assignments. Your work will directly impact CMI, SOI, ROM, CC/MCC capture, reimbursement accuracy, quality reporting, and audit readiness. This role goes beyond assigning codes you will partner with Client CDI teams, educate providers, and ensure that every claim reflects true acuity and resource utilization.

What You Will Do:

Own Case Mix Index performance:

Champion documentation integrity: Validate ICD-10-CM/PCS coding and final DRG assignment with a CMI-first lens.

Drive query excellence:

Lead compliance and education

Prevent denials proactively

Analyze and act on trends

Partner for impact

Stable or improving monthly CMI trend by service line

CC/MCC capture rate improvement with sustained SOI/ROM accuracy

Reduction in DRG downgrades and avoidable payer takebacks affecting CMI

Increased audit sustainment rate for clinically validated queries and DRG assignments

Tools and Platforms You Will Work With:

EMRs

Coding and CAC:

Analytics

Collaboration:

What You Will Bring:

Minimum Experience:

Education:

Certifications:

Systems Expertise:

Knowledge:

Soft Skills:

Work Mode:

Why Join Doctus:

Impact at scale

Collaborative culture

Career acceleration

Comprehensive package

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