drg validation

Description  Conduct comprehensive reviews of inpatient medical records to validate that assigned ICD-10-CM/PCS codes and DRG classifications accurately reflect the documented clinical conditions and procedures.   Ensure compliance with IPPS (Inpatient Prospective Payment System) methodology, CMS guidelines, and official coding rules when determining...

Job Description – Subject Matter Expert (SME) – IPDRG Medical Coding Job Title: Subject Matter Expert (SME) – IPDRG Function: Medical Coding / Clinical Operations Locations: Chennai / Hyderabad / Noida Experience: 6+ Years Qualification: Any Graduation / Any Educational Background Specialty: Inpatient DRG (IPDRG) Medical Coding & Auditing ...

ADDITIONAL AND ESSENTIAL RESPONSIBILITIES: • Follow every aspect of SOP without fail. • Complete received Audits for quality review and ensure quality output. • To achieve Quality SLA and quality production target. • Excellent verbal and written communication. • Follow project related protocols and instructions. • Escalate issues, identify...

About Us:Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU....

Certifications: CPC - Certified Professional CCS - Certified Coding Specialist CIC - Certified Inpatient Coder Advanced knowledge of medical coding software platforms (e.g., 3M Code Finder, Optum360, True Code, Epic, Cerner, etc.). Minimum 5 years of experience in Inpatient DRG coding. Outpatient medical coding experience is added advantage. Mandatory...

Certifications:  CPC -  Certified Professional CCS -  Certified Coding Specialist CIC -  Certified Inpatient Coder Experience: Manager:  10 to 15 years experience in medical coding, auditing and automation. Skills and Abilities: Advanced knowledge of medical coding software platforms (e.g., 3M Code Finder, Optum360, True Code, Epic, Cerner, etc.)....

Certifications:  CPC -  Certified Professional CCS -  Certified Coding Specialist CIC -  Certified Inpatient Coder Experience:  9 to 12 years experience in medical coding, auditing and automation. Skills and Abilities: Advanced knowledge of medical coding software platforms (e.g., 3M Code Finder, Optum360, True Code, Epic, Cerner, etc.). Minimum 5...

 Conduct comprehensive reviews of inpatient medical records to validate that assigned ICD-10-CM/PCS codes and DRG classifications accurately reflect the documented clinical conditions and procedures.  Ensure compliance with IPPS (Inpatient Prospective Payment System) methodology, CMS guidelines, and official coding rules when determining DRG...

About Us:Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU....

JOB DESCRIPTION In Patient – Coding Job Title ICD -10-PCS CODING Job Type Full-Time Job Location Bangalore Hours of Operation Day shifts JOB SUMMARY We are seeking an experienced, detail-oriented Inpatient ICD-10-PCS Coder to join our Health Information Management team. The successful candidate will accurately assign ICD-10-PCS...

About Milliman: Independent for over 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business...

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the...

Responsibilities & Key Deliverables Lead Packaging & integration of Vehicle systems, evaluation of concepts considering vehicle targets in terms of weight, cost, attributes, vehicle variants/ platform modularity. • Vehicle architecture & design considering market needs, engineering limitation and modularity within platform • Interaction with Various...

Description1. Coding Audit and Review Conduct detailed DRG validation audits on selected inpatient medical records to ensure coding accuracy, completeness, and compliance with ICD-10-CM/PCS, AHA Coding Clinic, and CMS guidelines. Review documentation to confirm that all reported diagnoses and procedures are supported and coded to the highest level of...

Project Role : Custom Software Engineer Project Role Description : Develop custom software solutions to design, code, and enhance components across systems or applications. Use modern frameworks and agile practices to deliver scalable, high-performing solutions tailored to specific business needs. Must have skills : Business Process Analysis Good to have...

Responsibilities & Key Deliverables 1. Concept preparations and evaluation based on weight, cost, attributes, vehicle variants/ platform modularity. 2. Lead Packaging & integration of Vehicle systems. 3. Vehicle calculation knowledge like, Wheel base calc, CG calc, Vehicle performance calc. 4. Lead DMU packaging reviews, Concerns resolution, Preparation of...

Project Role : Custom Software Engineer Project Role Description : Develop custom software solutions to design, code, and enhance components across systems or applications. Use modern frameworks and agile practices to deliver scalable, high-performing solutions tailored to specific business needs. Must have skills : Business Process Analysis Good to have...

Job PurposeWe are seeking a highly skilled Cloud Network Lead (GB05) to own and drive end-to-end network architecture, operations, and optimization across multi-cloud platforms (Azure, AWS, OCI, and GCP).The role requires deep expertise in cloud networking constructs, hybrid connectivity, routing, security controls, and high-availability architectures.The...

Job Family: Coding Quality IP (India) Travel Required: None Clearance Required: None What You Will Do: • Plans, monitors, direct and evaluate QA production on a daily basis. Ensures that daily schedules are met and communicates with Director, and Coding Operations if situations occur that hinder meeting deadlines. If system issues or other emergencies...

Responsibilities & Key Deliverables 1.    Concept preparations and evaluation based on weight, cost, attributes, vehicle variants/ platform modularity.2.    Lead Packaging & integration of Vehicle systems. 3.    Vehicle calculation knowledge like, Wheel base calc, CG calc, Vehicle performance calc.4.    Lead DMU packaging reviews, Concerns...