Clinical Documentation Specialist

Saaki Argus And Averil Consulting; Hyderabad; On-site; INR 900,000 - 1,500,000; Full time

Job summary

Saaki Argus And Averil Consulting in Hyderabad is seeking a skilled Clinical Documentation Improvement (CDI) specialist to review inpatient charts for accuracy and completeness, and to identify documentation gaps. The role involves raising physician queries, supporting ICD-10 coding and DRG assignment, and conducting retrospective reviews for Mortality, HAC and PSI cases.

You will collaborate with providers to improve clinical documentation quality.

Qualifications

• MMBS graduate with clinical background and CDI exposure.
• Experience in inpatient chart review and documentation improvement.
• Knowledge of ICU/ED settings and coding practices.
• Familiarity with ICD-10 and DRG guidelines.

Responsibilities

• Review inpatient charts for documentation accuracy and completeness.
• Identify documentation gaps and raise physician queries.
• Support ICD-10 coding and DRG assignment/compliance.
• Conduct retrospective reviews for Mortality, HAC & PSI cases.
• Collaborate with providers to improve clinical documentation quality.

Skills

ICD-10 knowledge

DRG knowledge

Anatomy knowledge

Pharmacology knowledge

Clinical documentation

Physician queries

Education

MMBS

Job description

Key Responsibilities

• Review inpatient charts for documentation accuracy and completeness
• Identify documentation gaps and raise physician queries
• Support ICD-10 coding and DRG assignment/compliance
• Conduct retrospective reviews for Mortality, HAC & PSI cases
• Collaborate with providers to improve clinical documentation quality

Eligibility

• Graduate in MMBS
• 4+ years of overall experience
• Minimum 2+ years of Clinical experience in ICU / Emergency Department
• Minimum 2+ years of experience in CDI / IPDRG / DRG
• Strong knowledge of Anatomy, Pathophysiology & Pharmacology
• Good understanding of ICD-10, MS-DRG / APR-DRG
• CDIP / CCDS / CDEI certification preferred