Medical Coder

Job Title: DRG Validation Specialist

Location: Chennai

Experience: 3+ Years

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.