Job Description

We Are hiring IP-DRG Coder / Auditor
The IP-DRG Auditor is responsible for conducting in-depth audits of inpatient medical records to ensure accurate DRG assignment and coding compliance. The role requires validating that diagnoses, procedures, POA indicators, and discharge dispositions are fully supported by clinical documentation and coded with the highest level of specificity, in line with IPPS methodology.
The incumbent will also play a key role in mentoring, training, and providing continuous feedback to coders and Clinical Documentation Specialists, ensuring quality, compliance, and productivity benchmarks are consistently met.
Location: Chennai | Hyderabad | Noida
Work Model

• First 3 months: Mandatory Work from Office (Training Period)

• Post training: Work From Home (WFH) based on performance and compliance

• Perform detailed inpatient DRG audits with high accuracy and quality

• Validate assigned DRGs, diagnoses, procedures, POA indicators, and discharge status

• Ensure compliance with IPPS guidelines and coding standards

• Follow all SOPs, project protocols, and instructions without deviation

• Meet defined quality and productivity targets

• Maintain and update all required logs (productivity, clarification, audit logs, etc.) on a daily basis

• Escalate issues proactively and identify trends impacting quality or productivity

• Provide mentoring, training, and constructive feedback to coding teams

• Respond promptly to all communications from Manager / Team Lead

• Coordinate with Manager/TL for any coding or audit clarifications

• Ensure full compliance with HIPAA, OIG, and organizational policies across the team

Requirements

• Mandatory Certification: CCS (Certified Coding Specialist) OR CIC (Certified Inpatient Coder)

• Experience: Minimum 2 years of hands-on experience in Inpatient DRG Coding or DRG Auditing

• Bachelor's degree in Nursing (Preferred) or Bachelor's in Science

• CTC Budget: Up to ₹14 LPAQualifications

Skills & Competencies

• Strong IP-DRG auditing experience

• Sound knowledge of IPPS methodology

• Proficiency in MS Excel, Word, and Outlook

• Exposure to 3M Encoder and NLP tools

• Excellent communication and analytical skills

• High attention to detail and flexibility

Skills Required