Medical Coder

Selections HR Services Private Limited; Chennai District; On-site; INR 400,000 - 640,000; Full time

Job summary

Selections HR Services Private Limited in Chennai invites applications for DRG Validation Specialists with 3+ years in medical coding. You will validate DRG assignments, audit records, and ensure ICD-10-CM/PCS alignment with MS-DRG guidelines.

The role emphasizes accuracy, adherence to payer rules, collaboration with clinical teams, and maintaining productivity targets. Certification in CPC or CCS is preferred.

Qualifications

• 3+ years of experience in DRG Validation/DRG Auditing or any coding experience.
• Strong knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG, and coding guidelines.
• Certification: CPC or CCS (either is acceptable).
• Good analytical and communication skills.

Responsibilities

• Validate and audit DRG assignments for accuracy and compliance.
• Review medical records and ensure correct ICD-10-CM/PCS and DRG coding.
• Identify coding discrepancies and recommend appropriate corrections.
• Ensure compliance with coding standards, payer guidelines, and regulatory requirements.
• Collaborate with coding and clinical teams to resolve documentation queries.
• Maintain quality and productivity targets.

Skills

DRG Validation/DRG Auditing

ICD-10-CM/PCS knowledge

MS-DRG knowledge

Coding guidelines

Analytical communication

Job description

Notice Period: Immediate Joiners Preferred

Job Description:

We are looking for experienced DRG Validation Specialists with 3+ years of experience in medical coding and DRG validation. Candidates should have strong knowledge of DRG assignment, ICD-10-CM/PCS, MS-DRG, and reimbursement guidelines. Certification in CPC, CCS, or equivalent is acceptable.

Key Responsibilities:

• Validate and audit DRG assignments for accuracy and compliance.
• Review medical records and ensure correct ICD-10-CM/PCS and DRG coding.
• Identify coding discrepancies and recommend appropriate corrections.
• Ensure compliance with coding standards, payer guidelines, and regulatory requirements.
• Collaborate with coding and clinical teams to resolve documentation queries.
• Maintain quality and productivity targets.

Mandatory Skills:

• 3+ years of experience in DRG Validation/DRG Auditing or any coding experience.
• Strong knowledge of ICD-10-CM, ICD-10-PCS, MS-DRG, and coding guidelines.
• Certification: CPC or CCS (either is acceptable).
• Good analytical and communication skills.