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Shai Health
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IPDRG Coder & Auditor

IPDRG Coder & Auditor

Shai Health

3 - 8 years

7 - 10 Lacs

Chennai

Posted:1 month ago| Platform:

Apply

Skills Required

Ccs Ipdrg Coding Auditing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Greetings from Synthesis Healthcare !!

we are hiring !!!

Job Summary:

The Quality Analyst (QA) in IPDRG ensures the accuracy and compliance of inpatient claims and diagnosis data, focusing on coding standards and regulatory guidelines. The role involves auditing, data analysis, and collaborating with teams to improve coding practices and documentation.

Key Responsibilities:

IPDRG Review & Audits:
Perform audits of inpatient claims to ensure compliance with coding standards (ICD-10-CM, ICD-10-PCS) and CMS guidelines.
Quality Checks:
Analyze trends in coding data and identify discrepancies to improve accuracy.
Reporting:
Generate reports on audit findings and corrective actions.
Collaboration & Training:
Work with coding teams to provide feedback and training on best practices.
Regulatory Compliance:
Ensure adherence to HIPAA, CMS, and other healthcare regulations.
Process Improvement:
Recommend improvements to enhance coding accuracy and workflow.

Qualifications:

Education:
Bachelors degree in Healthcare Administration, Health Information Management, or related field (preferred).
Experience:
3-8 years in healthcare quality assurance, coding, or auditing, especially in IP DRG for inpatient coding.
Skills:
Strong knowledge of ICD-10, DRG, and CMS regulations. Proficiency in Microsoft Excel and reporting tools.
Certifications:
CCS

Additional Skills:

Detail-oriented with strong analytical and problem-solving abilities.
Effective communicator with the ability to work in teams and independently.

hr@shai.health

Subject Line:

78457 77499.

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