IPDRG QA Specialist

Shashwath Solution; Pune District; On-site; INR 600,000 - 900,000; Full time

Job summary

Shashwath Solution in Pune, Maharashtra, is seeking an IPDRG Quality Assurance (QA) Specialist to ensure accuracy and compliance of coded medical records through detailed audits and reviews. The role focuses on auditing inpatient records, identifying coding errors, and providing training to coders to improve overall quality while aligning with regulatory standards.

Strong certification and experience in IPDRG QA are essential.

Qualifications

• CPC/CCS/CIC certification is required; QA credentials are a plus.
• Minimum 3 years of medical coding experience with IPDRG quality focus.
• Background in healthcare, medical coding, or a related field preferred.

Responsibilities

• Audit coded inpatient records for accuracy and compliance with IPDRG guidelines.
• Identify coding errors or inconsistencies and document findings.
• Provide feedback and training to coders to improve quality.
• Ensure adherence to quality standards and regulatory requirements.
• Collaborate with team to resolve complex coding issues.

Skills

Inpatient records

Coding audit

Coding compliance

Coder training

Healthcare coding

IPDRG quality assurance

Medical coding

Attention to detail

Analytical thinking

Communication skills

Task management

Education

CPC/CCS/CIC certification

3+ years medical coding experience

Healthcare/medical coding background

Job description

Job Summary

The IPDRG Quality Assurance (QA) Specialist ensures the accuracy and compliance of coded medical records through detailed audits and reviews, playing a key role in maintaining quality standards.

Key Responsibilities

• Perform detailed audits of coded inpatient records to verify accuracy and compliance with IPDRG guidelines.
• Identify and document coding errors or inconsistencies.
• Provide feedback and training to coders to enhance coding quality.
• Ensure adherence to company and regulatory quality standards.
• Assist in resolving complex coding issues with the team.

Required Qualifications

• Certification: Valid CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or CIC (Certified Inpatient Coder) certification required. Additional QA credentials are a plus.
• Experience: Minimum of 3 years of experience in medical coding, with a focus on IPDRG quality assurance.
• Education: Background in healthcare, medical coding, or a related field preferred.

Skills

• Expert knowledge of IPDRG coding and quality assurance practices.
• Exceptional attention to detail and precision.
• Strong analytical and critical thinking skills.
• Excellent communication skills for training and feedback.
• Ability to manage multiple tasks effectively.

Mandatory Key Skills

• inpatient records
• coding audit
• coding compliance
• coder training
• healthcare coding
• IPDRG quality assurance*
• medical coding*