Auditor Inpatient coding(DRGV)

Orcapod Consulting Services; Hyderabad; On-site; INR 700,000 - 1,200,000; Full time

Benefits offered by this job

Cab: Nodal pickup & home drop

Job summary

Orcapod Consulting Services is seeking an Auditor for Revenue Cycle Management (RCM) in Hyderabad. The role requires performing detailed audits of medical coding while ensuring compliance with US healthcare standards and accuracy in coding practices.

Candidates should have 2-5 years of relevant experience for the Auditor position and use recognized coding certifications. The role offers a Day Shift with various benefits, including cab service.

Qualifications

• 2 – 5 years of relevant RCM/Coding Audit experience.
• 5+ years for Senior Auditor (DRGV Validation).

Responsibilities

• Perform detailed audits of medical coding (IP/OP/ED as applicable).
• Ensure accuracy of CPT, ICD-10-CM, HCPCS coding.
• Validate DRG assignment and reimbursement impact.
• Identify documentation gaps and provide structured feedback.
• Ensure compliance with CMS and payer-specific guidelines.
• Maintain quality benchmarks and productivity targets.
• Prepare audit reports and share quality improvement recommendations.
• Support internal training and process improvement initiatives.

Skills

Strong knowledge of ICD-10-CM

CPT

HCPCS

Good understanding of DRG methodology

Knowledge of US healthcare compliance standards

Strong analytical and quality assessment skills

Good communication & reporting skills

Education

CPC / CCS / COC or equivalent recognized coding certification

Job description

Job Title: Auditor Revenue Cycle Management (RCM)

Location: Hyderabad

Shift: Day Shift (8:00 AM - 3:00 PM)

Cab: Nodal pickup & home drop

Employment Type: Full-Time

CTC: 7 9 LPA (2–5 yrs) | 10 – 12 LPA (Senior DRGV Validation – 5+ yrs)

Key Responsibilities

• Perform detailed audits of medical coding (IP/OP/ED as applicable)
• Ensure accuracy of CPT, ICD-10-CM, HCPCS coding
• Validate DRG assignment and reimbursement impact (for senior roles – DRGV Validation)
• Identify documentation gaps and provide structured feedback
• Ensure compliance with CMS and payer-specific guidelines
• Maintain quality benchmarks and productivity targets
• Prepare audit reports and share quality improvement recommendations
• Support internal training and process improvement initiatives

Eligibility Criteria

• 2 – 5 years of relevant RCM/Coding Audit experience
• 5+ years for Senior Auditor (DRGV Validation)

Certification (Mandatory)

• CPC / CCS / COC or equivalent recognized coding certification

Skills Required

• Strong knowledge of ICD-10-CM, CPT, HCPCS
• Good understanding of DRG methodology
• Knowledge of US healthcare compliance standards
• Strong analytical and quality assessment skills
• Good communication & reporting skills