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IPDRG Experienced Quality Analyst

4 weeks ago


Hyderabad Noida Chennai, India Cigma Medical Coding Academy Full time

Job Description Job Description: - Quality Analyst, with 4 years of IPDRG experience with CIC/CCS certification, Strong knowledge of anatomy, physiology, and medical terminology, Solid oral and written communication skills also ability to work independently. - Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures - Assigned and sequenced codes accurately based on medical record documentation - Assigned POA indicators correctly - Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims - Adhered to coding clinics and guidelines, and queried physicians for clarification as needed - Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed - Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software - Meditech will be added advantage