Job Summary
We are seeking an experienced IPDRG Subject Matter Expert (SME) to support inpatient coding operations, quality assurance, and training initiatives. The role requires strong expertise in DRG assignment, clinical interpretation, and coding compliance. The candidate will be responsible for ensuring high-quality coding outcomes, mentoring team members, and driving process improvements in alignment with organizational and client requirements.
Key Responsibilities
- Perform accurate IPDRG coding for inpatient cases in accordance with ICD-10 guidelines
- Ensure appropriate DRG assignment based on clinical documentation and coding standards
- Conduct quality audits and provide structured feedback to coding teams
- Identify coding discrepancies, analyze error trends, and implement corrective actions
- Deliver training sessions for new hires and ongoing upskilling of existing team members
- Act as a subject matter expert for complex coding queries and escalations
- Collaborate with internal stakeholders and clients to ensure compliance with SLAs and quality benchmarks
- Support process improvement initiatives and standardization of coding workflows
- Stay updated with current coding guidelines, regulatory requirements, and industry best practices
Required Skills
- Strong expertise in IPDRG and inpatient coding
- In-depth understanding of ICD-10-CM guidelines and DRG grouping methodologies
- Proven ability to train, mentor, and guide coding teams
Preferred Skills
- Experience in quality auditing and error analysis
- Strong analytical and problem-solving capabilities
- Effective communication and stakeholder management skills
- Familiarity with revenue cycle management processes and compliance standards
Qualifications
- Graduate in Life Sciences, Medical, or related field
- Relevant medical coding certification preferred
Experience
- 4 to 7 years of experience in IPDRG or inpatient coding
- Prior experience in SME, training, or quality roles is preferred
Additional Information
- Preferred notice period: Immediate to 30 days
- Work mode: Onsite
Ipdrg Analysis,DRG VALIDATION,Clinical Documentation
