IPDRG Coder / DRG Validation

V3 Staffing; Hyderabad; On-site; INR 500,000 - 750,000; Full time

Job summary

V3 Staffing seeks experienced Healthcare Coding professionals for IPDRG Coding and DRG Validation roles in Hyderabad, India. The ideal candidate will demonstrate strong inpatient coding knowledge, DRG assignment expertise, coding compliance, and clinically informed documentation review.

Roles involve reviewing inpatient records, assigning ICD/CPT/DRG codes, validating diagnoses, MCC/CC capture, and ensuring compliance with CMS guidelines. Provider-side experience is essential for success.

Qualifications

• Minimum 1+ year of IPDRG coding experience.
• Provider-side inpatient coding background.
• Strong DRG assignment knowledge.
• Proficient in ICD-10-CM and ICD-10-PCS.

Responsibilities

• Review inpatient records and assign ICD, CPT, and DRG codes.
• Ensure coding accuracy per guidelines and regulatory standards.
• Analyze clinical documentation to identify opportunities.
• Collaborate with physicians for documentation clarification.
• Perform DRG validation reviews and assess MCC/CC capture.
• Identify discrepancies and payer-specific guideline compliance.
• Conduct quality audits and recommend process improvements.

Skills

IPDRG Coding

DRG Validation

Inpatient Coding

ICD-10-CM/PCS

Coding Compliance

CMS Guidelines

Job description

Role & responsibilities

We are hiring experienced Healthcare Coding professionals for IPDRG Coding and DRG Validation roles. The ideal candidate should possess strong knowledge of inpatient coding methodologies, DRG assignment, coding compliance, clinical documentation review, and reimbursement validation

IPDRG Coding:

• Review inpatient medical records and assign accurate ICD, CPT, and DRG codes.
• Ensure coding accuracy in compliance with coding guidelines and regulatory standards.
• Analyze clinical documentation and identify coding opportunities.
• Maintain coding quality and productivity metrics.
• Collaborate with physicians and clinical teams for documentation clarification.

DRG Validation:

• Perform comprehensive DRG validation reviews on inpatient medical records.
• Validate assigned diagnoses, procedures, MCC/CC capture, and DRG assignment accuracy.
• Identify coding discrepancies and reimbursement risks.
• Ensure compliance with CMS, ICD, and payer-specific guidelines.
• Conduct quality audits and provide recommendations for process improvement.

Eligibility Criteria:

• Minimum 1+ year of experience in IPDRG Coding.
• Experience must be from the Provider-side Inpatient Coding environment.
• Strong understanding of DRG assignment methodologies.
• Knowledge of ICD-10-CM, ICD-10-PCS, and coding compliance standards.