Ipdrg

Yitro Business Consultants (p) Ltd; Hyderabad; On-site; INR 900,000 - 1,200,000; Full time

Job summary

Yitro Business Consultants (p) Ltd is seeking a DRG audit specialist to verify surgical coding accuracy and DRG/IPDRG compliance. You will review patient records, operative reports, and pathology results to detect discrepancies and collaborate with clinicians to resolve issues.

The role emphasizes developing training programs for staff on DRG systems and maintaining detailed audit documentation for quality assurance. Experience with auditing software is preferred.

Qualifications

• Certified Professional Coder (CPC) certification required; auditor experience preferred.
• Strong knowledge of medical coding principles, especially in surgical specialties.
• Experience with auditing software used for quality control; ability to learn new systems quickly.

Responsibilities

• Conduct audits of surgical procedures to ensure compliance with DRG/IPDRG guidelines.
• Review medical records to identify discrepancies in coding.
• Collaborate with providers to resolve documentation, billing, or quality issues.
• Develop training programs for staff on DRG systems and maintain audit records.

Skills

Auditing experience

Medical coding knowledge

DRG systems understanding

CPC knowledge

Education

CPC certification

Tools

Auditing software

Job description

Roles and Responsibilities :

• Conduct audits of surgical procedures to ensure compliance with DRG (Diagnosis-Related Group) codes and IPDRG guidelines.
• Review medical records, including patient charts, operative reports, and pathology results to identify discrepancies in coding.
• Collaborate with healthcare providers to resolve issues related to procedure documentation, billing, or quality assurance.
• Develop training programs for staff on proper use of DRG systems and maintain accurate records of audit findings.

Job Requirements :

• Certified Professional Coder (CPC) certification required; experience as an auditor preferred.
• Strong knowledge of medical coding principles, particularly in surgery specialties such as orthopedics, neurosurgery, etc. .
• Experience with auditing software applications used for quality control purposes; ability to learn new systems quickly.