IPDRG Finalizer

Job description:

Qualifications and Education Requirements

· Mandatory Coding Certification from AHIMA/AAPC – (CCS, CIC).

· Good Analyzing & Communication skills (Written & Verbal).

Preferred Experienced Skills

· Knowledge on RCM & DRG methodology (optimizing will be an added advantage.

· Self-Learning & Goal-oriented, Organized team player.

· Basic Computer Skills & MS-office Suite.

· Evaluating and Trending Down Errors and preparing Corrective Action Plan – for Error Free Claims.

· Abstraction of ICD/PCS from Medical Records adhering to IPPS (Inpatient Payment Prospective System).

· Concurrent and retrospective medical record review for defined patient populations to identify opportunities for documentation improvement and integrity

· Serve as CDI representative for DRG validation audits, HAC.

· Query auditing for compliance and collaborating with Health Information Management (HIM)

· Should have good knowledge on MS-DRG & APR DRG

· HIPAA Compliant for PHI.

· Meeting Minimum Expected Standard Benchmarks (Quality above 98%) (Production above 98% to 100%).

· Flexibility on Shifts & Roster weekends as part of Operational Requirement.

Job Types: Full-time, Permanent

Schedule:

• Morning shift

Ability to commute/relocate:

• Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Required)

Experience:

• total work: 2 years (Required)

License/Certification:

• CCS, CIC (Required)