QA - HIM Services
HyderabadFull-time5–10 yrsPosted over a month ago
Senior quality assurance role at CorroHealth Infotech in Hyderabad. Needs 5+ years and a B.Pharm or MBBS.
About the role
The IP-DRG Auditor is responsible for reviewing inpatient medical records to ensure that the assigned ICD-10-CM (Diagnoses) and ICD-10-PCS (Procedures) codes accurately reflect the patient’s clinical stay. The primary goal is to validate the MS-DRG (Medicare Severity) or APR-DRG (All Patient Refined) assignment to ensure compliance and optimized, legitimate reimbursement.
What you'll do
- This position may perform all or most of the primary duties listed below
- Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team…
- Auditing and reviewing medical documentation for appropriate ICD and CPT coding
- And ensuring that codes tally with doctors’ diagnosis
- Asking explanation from physicians when code assignments are not straightforward or
What you need
- Accounts receivable
- Medical coding
- Root cause analysis
- Pharmacology
- Tally