38 Drg Coding Jobs - Page 2

Note: These resources should possess certification either in CIC or CCS (Mandatory) Job Description: The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients. Please share relevant profiles at the earliest. Let us know if you need any further details. We are looking for professionals with strong expertise in DRG. The ideal candidates should have: Key Responsibilities: Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc. Based on the evidence presented in the medical records, determine, and record the appropriate (revised) Diagnosis Codes, Procedure Codes and Discharge Status Code applicable to the claim. Using the revised codes, regroup the claim using provided software to determine the new DRG Where the regrouped new DRG’ differs from what was originally claimed by the provider, write a customer facing ‘rationale’ or ‘findings’ statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review Document all aspect of audits including uploading all provider communications, clinical rationale, and/or financial research Identify new DRG coding concepts to expand the DRG product. Manage assigned claims and claim report, adhering to client turnaround time, and department Standard Operating Procedures Meet and/or exceed all internal and department productivity and quality standards Recommend new methods to improve departmental procedures Achieve and maintain personal production and savings quota Maintain awareness of and ensure adherence to Zelis standards regarding privacy Skills, Knowledge, and Experience: Registered Nurse licensure preferred Graduate Inpatient Coding Certification required (i.e., CCS, CIC, RHIA, RHIT) 3 – 5 years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs Understanding of hospital coding and billing rules Clinical skills to evaluate appropriate Medical Record Coding Experience conducting root cause analysis and identifying solutions Strong organization skills with attention to detail Outstanding verbal and written communication skills Note: These resources should possess certification either in CIC or CCS (Mandatory)

Hello, Please share your updated resume at gemini.goyal@cotiviti.com if interested. Thank you! Summary: We are currently seeking an AVP Clinical Operations with excellent operational acumen and people management skills. AVP will be required to communicate with the client (externally) and various departments of Cotiviti (internally) to ensure a high quality of service. Achieving and surpassing service level benchmarks would be a key responsibility. A good understanding of the processes and managing them through frequently occurring changes will be vital for meeting SLAs. Managing resources, their issues and their career planning is required for the team continuously improve their performance which would result in client delight. Handle large number of teams with the support of managers, AMs and team leads Relevant Experience and educational requirements: Medical qualification- MBBS, BHMS, BAMS,, preferably in clinical sciences CPC/CIC/CCS certification Additional relevant certifications would be an added advantage 15 years of experience in BPO/KPO industry 5+ years of experience as Senior Manager/Director Operations Experience managing Managers or similar levels Experience in US healthcare health plan operations (pre-adjudication, post adjudication or adjudication) preferred Implementations/transitions experience preferred Skills and competencies: Strong analytical, critical thinking and problem-solving skills Excellent verbal and written communication skills MS office proficiency Strong organizational skills and adaptive capacity for rapidly changing priorities and workloads Ability to make sound decisions keeping in mind business interests Comfortable handling teams across geographies, i.e. other locations within India, Philippines or in the US Capable of working under stress and for extended amounts of time Disclaimer: This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change Thanks & Regards Talent Acquisition Team | COTIVITI

Looking for any Certified/Non-Certified Medical coder with Denial/ Coder/QA IPDRG Coder/QA EM Coder/QA Both Work From Home and Work From Office is available. Preferably Immediate Joinees or 15 days Flexible in Relieving letters & Gaps. Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like Denial/CODER/SR.CODER/QA IPDRG Coder/QA EM Coder/QA

Hi guys We are hiriing IP-drg coder/Qa opening sin multiple clients Location:Chennai/Banaglore/Trichy Exp:1+yrs Certified only Interested share cv -9629859733 Monisha-Starworth

Looking for any Certified/Non-Certified Medical coder with Surgery/ Coder/QA EM Coder/QA IPDRG Coder/QA Both Work From Home and Work From Office is available. Preferably Immediate Joinees or 15 days Flexible in Relieving letters & Gaps. Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like Surgery/CODER/SR.CODER/QA EM Coder/QA IPDRG Coder/QA

Looking for any Certified/Non-Certified Medical coder with Denial/ Coder/QA IPDRG Coder/QA Both Work From Home and Work From Office is available. Preferably Immediate Joinees or 15 days Flexible in Relieving letters & Gaps. Required Candidate profile Looking for Certified/Non Certified Medical coder with any specialty like Denial/CODER/SR.CODER/QA IPDRG Coder/QA

Hey Family!!!! We have huge opportunity for our new MNC RCM client!!!! *Open Package - Medical coding* *Speciality: SDS - OP * *Designation* : 1. Senior Coder Work Location: *Bangalore & Chennai ,trivandram* *Speciality: IPDRG Coding* *Designation: Senior Coder* Work Location: *Coimbatore and Chennai* Eligibility: *Only Certified - Any certification like CPC ,CIC,CCS * Interview: Single Round Virtual Salary Grid: *Open* *Only Work from office* Notice period: *Immediate to 30days* Interested Candidates Reach Out to 7550062225 Thanks regards, Indhu Senior Lead HR Talent Acquisition Team 7550062225

Dear Candidate, We are hiring experienced Medical Coders / Senior Medical Coders with coding certifications (CIC /CCS/CPC) hand on experience on Inpatient DRG (MS-DRG/APR-DRG) coding. NOTE: Must have real time IPDRG experience. About the role: Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. Requirements: 1 to 7+ Years experience in IP DRG medical Coding Education Any Graduate Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC / CPC) Must be active during joining and verified. Strong knowledge of anatomy, physiology, and medical terminology Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) Able to work independently and willing to adapt and change as per business/process requirement. Interested candidate please share your resume at jsaidev@r1rcm.com or reach me @ 9885978995 HR Details Sai Dev only for IPDRG role Thanks & Regards, Sai Dev. J | HR - Specialist||Talent Acquisition - India| +91-9885978995 Workstation: 1st Floor, 2nd Tower, NSL Arena, Uppal, Hyderabad-500039

Hey Family!!!! We have huge opportunity for our new MNC RCM client!!!! *Open Package - Medical coding* *Speciality: SDS - OP * *Designation* : 1. Senior Coder Work Location: *Bangalore & Chennai ,trivandram* *Speciality: IPDRG Coding* *Designation: Senior Coder* Work Location: *Coimbatore and Chennai* Eligibility: *Only Certified - Any certification like CPC ,CIC,CCS * Interview: Single Round Virtual Salary Grid: *Open* *Only Work from office* Notice period: *Immediate to 30days* Interested Candidates Reach Out to 7550062225 Thanks regards, Indhu Senior Lead HR Talent Acquisition Team 7550062225

Hey Family!!!! We have huge opportunity for our new MNC RCM client!!!! *Open Package - Medical coding* *Speciality: SDS - OP * *Designation* : 1. Senior Coder Work Location: *Bangalore & Chennai ,trivandram* *Speciality: IPDRG Coding* *Designation: Senior Coder* Work Location: *Coimbatore and Chennai* Eligibility: *Only Certified - Any certification like CPC ,CIC,CCS * Interview: Single Round Virtual Salary Grid: *Open* *Only Work from office* Notice period: *Immediate to 30days* Interested Candidates Reach Out to 7550062225 Thanks regards, Indhu Senior Lead HR Talent Acquisition Team 7550062225

Hello Coders, We are hiring Certified Medical Coders and Quality Analyst for Chennai and Hyderabad Location Specialities are given below. IPDRG COders & QA - Location : Hyderabad & Chennai. Surgery Coders & QA - Location : Chennai. IVR Coders - Location : Chennai. Experience - 2 Years to 15 Years. Preferred candidate profile Certified coder: CIC / CCS / CPC (Mandatory) Strong experience in Medical coding & Auditing (IPDRG, Surgery and IVR) Familiarity with U.S. healthcare guidelines and payer policies Strong knowledge of ICD-10-CM, ICD-10-PCS Education : Any graduate (Life Science/Paramedical preferred) Coding certification: AAPC / AHIMA (mandatory) Perks and Benefits : Health Insurance Certification Sponsorship (if applicable) Performance Bonuses Learning & Development Programs Free Meal , Snacks and Beverages How to Apply : Apply via Naukri or send your updated resume to: manojprassana.dillibabu@coronishealth.com or Contact - Manoj - 6385272597

Hi all Greeting from HireWorks We have huge opening for medical coding Experienced candidate - IPDRG Only Certified Min - 5yrs Salary Open discussion Any Degree is Fine Location - Chennai / Hyderabad Notice period acceptable Interested candidates reach out to me Regards Neelaveni HR 9710978089

Are you passionate about improving healthcare documentation ? If you have a keen eye for accuracy, solid background in inpatient coding, and a love for quality standards, we want to hear from you!! 3- 6 years of experience in medical coding or CDI in an acute care or RCM setting (some type of coding experience required; in-patient coding experience highly preferred) Proficiency with ICD-10 , DRG grouping , and query compliance practices Strong communication, analytical and clinical interpretation skills