DRG Coding Specialist

1 day ago


Bengaluru Bangalore Chennai Hyderabad Uttar Pradesh, India beBeeDrgrCoding Full time US$ 90,000 - US$ 1,20,000
Job Summary

We are seeking a highly skilled DRG coder to join our team. As a key member of our operations team, you will be responsible for automating repetitive coding tasks, bringing AI-based solutions for DRG claims validations, and improving compliance through predictive analytics.

Responsibilities:
  1. Automation of DRG Coding
  2. Bringing AI-Based Solutions for DRG Claims Validations
  3. Improving Compliance Through Predictive Analytics
  4. AI-Assisted Decision-Making Automations for Diagnosis and Procedure Codes
  5. Ability to Work with Physicians, IT Professionals, SMEs, and Medical Coders
Required Skills and Qualifications:
  • Advanced knowledge of medical coding software platforms (e.g., 3M Code Finder, Optum360, True Code, Epic, Cerner)
  • Minimum 5 years of experience in Inpatient DRG coding
  • Outpatient medical coding experience is an added advantage
  • Mandatory working experience on US healthcare automation projects
  • Knowledge on automation tools
  • Knowledge of programming language would be an added advantage alike
  • Python, SQL, R, etc.
  • Payer experience is an added advantage
  • Expertise in Microsoft outlook/excel/word/Power BI
Benefits:
  • Opportunity to work on cutting-edge technology and automation projects
  • Chance to develop and implement quality improvement initiatives
  • Engage in market analysis to understand the competitive landscape
Others:
  • Conduct UAT and provide feedback to respective teams
  • Retrain and evaluate the performance of the automated model
  • Estimate or project the return on investment (ROI)
  • Analyze benchmarking


  • Bengaluru / Bangalore, Chennai, Hyderabad / Secunderabad, Telangana, India beBeeCoding Full time US$ 90,000 - US$ 1,20,000

    Job Title">EXL is hiring for an IP DRG Coding Specialist. We are looking for a highly skilled individual with experience in IP DRG coding and auditing to join our team as an IP DRG Coding Specialist.Job Description:">We are seeking a qualified IP DRG Coding Specialist to review and improve our coding process, ensuring that it is accurate and compliant with...


  • Hyderabad / Secunderabad, Telangana, Bengaluru / Bangalore, Chennai, India beBeeCoding Full time US$ 90,000 - US$ 1,20,000

    Job Opportunity: Surgical and Inpatient DRG Coding SpecialistWe are seeking a skilled Surgical and Inpatient DRG Coding Specialist to join our team. This role requires expertise in coding methodologies, including ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.Coding Expertise:Able to assign accurate codes for multi-specialty surgical proceduresFamiliarity with NCCI...


  • Chennai, Hyderabad / Secunderabad, Telangana, Bengaluru / Bangalore, India beBeeIpdrgcoding Full time

    We are seeking a highly skilled IP DRG Coding Specialist to join our team. As an IP DRG Coding Specialist, you will be responsible for accurately coding medical records to ensure compliance with regulatory requirements.The ideal candidate will have a strong background in science or nursing and experience in IP DRG coding or auditing. A minimum of 5 years of...


  • Hyderabad / Secunderabad, Telangana, Bengaluru / Bangalore, Chennai, India beBeeCoding Full time US$ 90,000 - US$ 1,20,000

    Job Summary:As a surgical and inpatient DRG coder, you will be responsible for assigning accurate ICD-10-CM and CPT codes for multi-specialty surgical procedures. You will also review inpatient medical records, assign ICD-10-PCS codes and validate principal diagnosis, secondary conditions, POA indicators, and procedures.Responsibilities:Assign accurate...


  • Bengaluru / Bangalore, Chennai, Hyderabad / Secunderabad, Telangana, India beBeeCoding Full time ₹ 9,00,000 - ₹ 12,00,000

    Job Title: Clinical Coding SpecialistWe are seeking a skilled Clinical Coding Specialist to join our team. As a key member of our coding department, you will be responsible for reviewing inpatient clinical documentation and assigning accurate ICD-10-CM/PCS codes.You will assign appropriate MS-DRGs/APR-DRGs based on documented diagnoses and procedures.You...


  • Bengaluru / Bangalore, Chennai, Hyderabad / Secunderabad, Telangana, India beBeeCoding Full time US$ 80,000 - US$ 1,20,000

    Job Title: Healthcare Coding SpecialistWe are seeking a detail-oriented and organized individual to join our team as a Healthcare Coding Specialist. The ideal candidate will have a strong understanding of ICD-10-CM, PCS codes, and DRG grouping logic.Key Responsibilities:Coding: Assign accurate MS-DRG or APR-DRG based on principal diagnosis, procedures,...


  • Chennai, Hyderabad / Secunderabad, Telangana, Bengaluru / Bangalore, India beBeeCoding Full time ₹ 9,00,000 - ₹ 12,00,000

    Job DescriptionWe are seeking a detail-oriented and highly skilled Coding Specialist to join our team. The ideal candidate will have experience in medical coding, particularly in surgery, office visits (E&M), and inpatient encounters.As a Coding Specialist, you will be responsible for reviewing and abstracting clinical documentation, assigning accurate...


  • Hyderabad, Telangana, India beBeeMedicalCoder Full time ₹ 9,00,000 - ₹ 12,00,000

    Senior Medical Coder- IP-DRG Job OpportunityWe are currently seeking a seasoned Senior Inpatient DRG Medical Coding professional to join our organization. The ideal candidate will possess extensive knowledge of ICD-10-CM and PCS Coding, along with excellent communication skills.Key Responsibilities:Assign accurate and comprehensive ICD-10-CM & PCS diagnoses...


  • Chennai, Hyderabad / Secunderabad, Telangana, Bengaluru / Bangalore, India beBeeCoding Full time ₹ 9,00,000 - ₹ 12,00,000

    Healthcare Coding and Quality Assurance SpecialistAs a skilled healthcare coding specialist, you will be responsible for reviewing inpatient clinical documentation and assigning accurate ICD-10-CM/PCS codes. You will also assign appropriate MS-DRGs/APR-DRGs based on documented diagnoses and procedures.To ensure 100% adherence to coding guidelines,...


  • Bengaluru / Bangalore, Chennai, Hyderabad / Secunderabad, Telangana, India beBeeCoding Full time

    Job Description:We are seeking a highly skilled IPDRG Coding Specialist to join our team. The successful candidate will be responsible for automating DRG coding tasks, bringing AI-based solutions for DRG claims validations, and improving compliance through predictive analytics.Required Skills and Qualifications:To be successful in this role, you will...