CDI Specialist

CorroHealth Infotech Private Limited; Hyderabad; On-site; INR 500,000 - 900,000; Full time

Job summary

CorroHealth sits at the center of the revenue cycle revolution, delivering high-quality inpatient DRG audits to ensure accurate MS-DRG assignments in line with ICD-10-CM/PCS guidelines and CMS regulations.

The CDI specialist/Clinical Auditor – Offshore (India) role supports onshore teams by validating coding accuracy, CC/MCC capture, and documentation sufficiency. You will document audit findings and collaborate across CDI, coding, and quality teams to meet productivity targets.

Qualifications

• Inpatient coding and DRG validation experience required.
• Knowledge of CDI concepts and physician documentation standards.
• Strong written and verbal English communication skills.

Responsibilities

• Perform retrospective inpatient DRG audits for U.S. hospital accounts.
• Validate principal and secondary diagnoses, procedures, and DRG assignment.
• Review charts for CC/MCC capture, SOI/ROM, and clinical validity.
• Ensure ICD-10-CM/PCS guidelines, Coding Clinic, and CMS regulations compliance.
• Identify DRG shifts, missed diagnoses, and documentation gaps.
• Provide audit findings with supporting clinical and coding rationale.

Skills

Inpatient coding

DRG validation

CDI concepts

English comms

Education

RN / MBBS / BDS / BAMS / BHMS

CCS or CPC

CCDS or CDIP

Job description

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. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

Job Requisition – CDI specialist/Clinical Auditor (Offshore / India)

Job Title CDI specialist/ Clinical Auditor – Offshore (India)

The DRG Auditor (Offshore) is responsible for performing high‑quality inpatient DRG audits to ensure accurate MS‑DRG assignment in compliance with ICD‑10‑CM/PCS coding guidelines, CMS regulations, and client‑specific requirements. This role supports onshore teams by validating coding accuracy, CC/MCC capture, and documentation sufficiency to ensure reimbursement integrity and audit readiness.

Key Responsibilities

• Perform retrospective inpatient DRG audits for U.S. hospital accounts
• Validate principal diagnosis, secondary diagnoses, procedures, and DRG assignment
• Review charts for accurate CC/MCC capture, SOI/ROM, and clinical validity
• Ensure compliance with ICD‑10‑CM/PCS Official Coding Guidelines, Coding Clinic, and CMS regulations
• Identify DRG shifts, missed diagnoses, and documentation‑related issues
• Provide clear audit findings with supporting clinical and coding rationale
• Document audit results accurately in client‑specified tools or templates
• Collaborate with onshore auditors, CDI, coding, and quality teams
• Meet established productivity, quality, and turnaround time metrics
• Participate in calibration sessions, feedback reviews, and ongoing training

Required Qualifications

• Clinical or coding credentials: RN/ MBBS/ BDS/ BAMS/ BHMS, CCS or CPC, CCDS or CDIP 2+ years of inpatient coding and DRG validation experience
• Knowledge of CDI concepts and physician documentation standard
• Strong knowledge of: MS‑DRGs CC/MCC logic SOI/ROM concepts Principal diagnosis and sequencing rules
• Hands‑on experience auditing inpatient charts for U.S. healthcare facilities
• Solid understanding of clinical documentation and coding compliance
• Strong written and verbal English communication skills

PHYSICAL DEMANDS:

Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye‑hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CorroHealth sits at the center of the revenue cycle revolution. Fundamental operations of the revenue cycle are supported through our expert teams while we recast the role of clinicians through automation. This shift to a true clinical revenue cycle helps us achieve our core purpose – exceed client financial health goals. For each patient population, CorroHealth automates key clinical aspects of the cycle. Our platforms focus on capture and application of clinical documentation while easing the burden on physicians. Scalability is prioritized in the support of client program operations. As with most revenue cycle partners, our skilled and enthusiastic team is available to outsource any portion of the cycle. However, we can also complement client programs with additional expert support or upskill existing client teams to meet program demands. Whether our team is deployed directly, or automation is incorporated for a more programmatic solution, CorroHealth delivers.

CorroHealth has acquired Xtend Healthcare! For more information, please visit https://corrohealth.com.

Applicants will only receive job-related emails from the domain @corrohealth.com.

Additionally, it is important to emphasize that CorroHealth will never ask for money in return for a job offer.