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1.0 - 5.0 years
0 Lacs
chennai, tamil nadu
On-site
Role Overview: As a DRG Quality Analyst, you will be responsible for conducting detailed quality reviews of inpatient medical records to verify the accuracy of billed diagnoses, procedures, and DRG codes. Your role will involve ensuring compliance with medical record documentation and IPPS methodology. Additionally, you will play a crucial part in mentoring and training DRG Auditors to meet quality SLA requirements and providing continuous feedback and education to the coding staff. Key Responsibilities: - Perform in-depth quality reviews of inpatient medical records - Validate billed diagnoses, procedures, discharge disposition, and DRG codes - Mentor and train DRG Auditors to achieve quali...
Posted 2 days ago
5.0 - 7.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Job Description The DRG Quality Analyst is responsible for performing an in-depth quality review of inpatient medical records to ensure that the DRG Auditor validated the billed diagnoses, POA, procedures, discharge disposition and DRG codes in accordance with the medical record documentation and in compliance with IPPS methodology. Quality Analyst is responsible for mentoring and training the DRG Auditors to reach the quality SLA. Provide ongoing feedback and education to coding staff. Essential Criteria Bachelor's in science/ Bachelor's in nursing Certified - CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder, CPC - Certified Professional Minimum 5 years experience in IP DR...
Posted 1 month ago
2.0 - 4.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minim...
Posted 1 month ago
2.0 - 4.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minim...
Posted 2 months ago
2.0 - 4.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minim...
Posted 2 months ago
2.0 - 4.0 years
0 Lacs
chennai, tamil nadu, india
On-site
Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minim...
Posted 2 months ago
2.0 - 4.0 years
0 Lacs
Chennai, Tamil Nadu, India
On-site
Overview: The DRG coding Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists. Qualifications: Bachelors in nursing preferable / Bachelor's in science. Certification- Mandatory CCS - Certified Coding Specialist, CIC - Certified Inpatient Coder Experience: Minim...
Posted 3 months ago
2.0 - 6.0 years
0 Lacs
chennai, tamil nadu
On-site
The DRG Auditor role involves conducting a thorough review of specific inpatient medical records to verify that the assigned codes and DRG are well-supported by clinical documentation. It is crucial to ensure that all diagnoses and procedures are accurately coded with the necessary specificity, and that the discharge disposition and the POA are correct. Proficiency in IPPS methodology is a prerequisite. Additionally, this position entails mentoring and training other coders, along with providing continuous feedback and education to coding staff and Clinical Documentation Specialists. The ideal candidate for this role should possess a Bachelor's degree in nursing or a Bachelor's degree in sci...
Posted 4 months ago
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