Executives-Auditors-DRG

About the role

Conduct comprehensive reviews of inpatient medical records to validate that assigned ICD-10-CM/PCS codes and DRG classifications accurately reflect the documented clinical conditions and procedures. Ensure compliance with IPPS (Inpatient Prospective Payment System) methodology , CMS guidelines, and official coding rules when determining DRG assignment.

What you'll do

• Follow every aspect of SOP without fail
• Complete received Audits with Quality
• Achieve Quality and production target
• Follow project related protocols and instructions
• Escalate issues, identify trends

What you need

• 20–30 yrs of experience
• Excel
• Financial statements
• Audit
• LLMs
• Data analysis
• NLP
• Any graduate

Good to have

• SOP writing
• Medical coding