QA/Auditor / IPDRG Medical Coder

Orcapod Consulting Services; Chennai District; On-site; INR 600,000 - 900,000; Full time

Job summary

Orcapod Consulting Services in Chennai, India, seeks a quality-focused IPDRG coder-auditor to perform quality audits and validate ICD-10-CM/PCS and MS-DRG assignments. You will identify discrepancies and provide feedback to improve coding accuracy and compliance while maintaining client guidelines.

The role requires monitoring trends, preparing audit reports, and collaborating with coding teams to meet quality and productivity targets, while ensuring HIPAA privacy and data security.

Qualifications

• Experience performing IPDRG inpatient medical coding quality audits.
• Proficient in reviewing ICD-10-CM, ICD-10-PCS and MS-DRG assignments.
• Identifying coding discrepancies, documentation gaps and compliance issues.
• Ability to provide timely feedback and coaching to coders.
• Maintain adherence to client guidelines, regulatory standards and coding policies.

Responsibilities

• Perform quality audits of IPDRG inpatient medical coding to ensure accuracy and compliance.
• Review coded medical records and validate ICD-10-CM, ICD-10-PCS, and MS-DRG assignments.
• Identify coding discrepancies, documentation gaps, and compliance issues.
• Provide timely feedback and coaching to coders to improve coding quality and accuracy.
• Ensure adherence to client-specific guidelines, regulatory standards, and coding policies.
• Prepare and maintain audit reports, quality metrics, and productivity reports.
• Monitor coding quality trends and recommend corrective and preventive actions.
• Support process improvement initiatives and participate in quality review meetings.
• Stay updated with changes in coding guidelines, payer regulations, and industry best practices.
• Collaborate with coding teams and stakeholders to achieve quality and productivity targets.
• Maintain confidentiality of patient health information and comply with HIPAA/client data privacy requirements.
• Meet assigned quality, accuracy, and turnaround time (TAT) targets.

Skills

Quality audits

Medical coding

ICD-10-CM

ICD-10-PCS

MS-DRG

HIPAA compliance

Job description

Role & responsibilities

• Perform quality audits of IPDRG inpatient medical coding to ensure accuracy and compliance.
• Review coded medical records and validate ICD-10-CM, ICD-10-PCS, and MS-DRG assignments.
• Identify coding discrepancies, documentation gaps, and compliance issues.
• Provide timely feedback and coaching to coders to improve coding quality and accuracy.
• Ensure adherence to client-specific guidelines, regulatory standards, and coding policies.
• Prepare and maintain audit reports, quality metrics, and productivity reports.
• Monitor coding quality trends and recommend corrective and preventive actions.
• Support process improvement initiatives and participate in quality review meetings.
• Stay updated with changes in coding guidelines, payer regulations, and industry best practices.
• Collaborate with coding teams and stakeholders to achieve quality and productivity targets.
• Maintain confidentiality of patient health information and comply with HIPAA/client data privacy requirements.
• Meet assigned quality, accuracy, and turnaround time (TAT) targets.