Inpatient Clinical Data Quality and Coding Specialist

BIG Language Solutions; Dadri; On-site; INR 1,800,000 - 3,200,000; Full time

Job summary

Big Language Solutions in India is seeking an experienced Inpatient Clinical Data Quality and Coding Specialist to support accurate inpatient documentation, coding, DRG assignment, data quality, risk adjustment, and compliance. The role requires 7+ years in US healthcare inpatient coding, a deep understanding of documentation criteria, and familiarity with CMS, AHIMA, and Joint Commission guidelines.

Proficiency with EMR systems (Epic, Oracle Cerner, Meditech) and coding tools (3M, Nuance,

Qualifications

• Minimum 7 years in US healthcare focused on inpatient coding, data quality audits, ICD-10-CM/PCS coding, and DRG assignments.
• In-depth understanding of documentation criteria for major conditions, severity of illness, and coding compliance.
• Familiarity with payer-specific policies, official coding guidelines, and regulatory standards, including CMS, AHIMA, and Joint Commission requirements.
• Proficiency with EMR systems such as Epic, Oracle Cerner, or Meditech and coding tools such as 3M, Nuance, or Optum.
• Education: Science graduate or postgraduate.
• Credentials: AHIMA and/or AAPC certification(s); CCS and/or CDIP/CCDS.
• Outstanding verbal and written English proficiency.
• Work Location: Ready to work from our offices in Hyderabad, Vizag, or Noida.

Responsibilities

• Conduct comprehensive inpatient clinical documentation reviews and initiate queries when needed, including for targeted comorbidities and associated risks.
• Audit inpatient records to validate ICD-10-CM/PCS coding and DRG assignments.
• Analyze coding data for discrepancies, trends, and improvement opportunities.
• Identify variables affecting mortality, risk adjustment, and severity of illness using applicable tools and DRG models.
• Ensure diagnoses supporting model variables are documented as present on admission when appropriate.
• Validate severity-of-illness documentation and initiate queries when needed.
• Serve as a resource for inpatient coding, DRG assignment, and severity-of-illness assessment.
• Collaborate with coding, physician, CDI teams to resolve documentation and coding discrepancies.
• Provide targeted education to coding and clinical teams on documentation and data quality improvement.

Skills

Inpatient coding

Data quality audits

DRG assignments

ICD-10-CM/PCS coding

Regulatory standards

Communication skills

Education

Science graduate

Postgraduate

AHIMA certification

AAPC certification

CCS

CDIP

CCDS

Tools

Epic

Oracle Cerner

Meditech

3M

Nuance

Optum

Job description

Job Title - Inpatient Clinical Data Quality and Coding Specialist

Big Language Solutions is hiring for DOCTUS DATA SERVICES.”"

Job Summary :

We are hiring experienced Inpatient Clinical Data Quality and Coding Specialists to support accurate inpatient clinical documentation, coding, DRG assignment, data quality, risk adjustment, and compliance.

Minimum Requirements

• Experience: Minimum 7 years in US healthcare focused on inpatient coding, data quality audits, ICD-10-CM/PCS coding, and DRG assignments.
• Clinical Documentation: In-depth understanding of documentation criteria for major conditions, severity of illness, and coding compliance.
• Guidelines and Regulations: Familiarity with payer-specific policies, official coding guidelines, and regulatory standards, including CMS, AHIMA, and Joint Commission requirements.
• Systems: Proficiency with EMR systems such as Epic, Oracle Cerner, or Meditech and coding tools such as 3M, Nuance, or Optum.
• Education: Science graduate or postgraduate.
• Credentials: Current AHIMA and/or AAPC certification(s); CCS and/or CDIP/CCDS.
• Communication: Outstanding verbal and written English proficiency.
• Work Location: Ready to work from our offices in Hyderabad, Vizag, or Noida.

Responsibilities

Conduct comprehensive inpatient clinical documentation reviews and initiate queries when needed, including for targeted comorbidities and associated risks.

Audit inpatient records to validate ICD-10-CM/PCS coding and DRG assignments.

Analyze coding data for discrepancies, trends, and improvement opportunities.

Identify variables affecting mortality, risk adjustment, and severity of illness using applicable tools and DRG models.

Ensure diagnoses supporting model variables are documented as present on admission when appropriate.

Validate severity-of-illness documentation and initiate queries when needed.

Serve as a resource for inpatient coding, DRG assignment, and severity-of-illness assessment.

Collaborate with coding, physician, and CDI teams to resolve documentation and coding discrepancies.

Provide targeted education to coding and clinical teams on documentation and data quality improvement.