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IPDRG Coder DRG Validation Specialist
Job Location:
Monthly Salary:
Posted:
19 September 2026 (15 hours ago)
Posted:
Application Deadline:
17 December 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
IPDRG Coding
- Review inpatient medical records and accurately assign ICD-10-CM ICD-10-PCS CPT and DRG codes.
- Ensure coding accuracy and compliance with established coding guidelines regulatory requirements and payer standards.
- Review clinical documentation to identify appropriate coding opportunities.
- Ensure accurate capture of MCCs CCs diagnoses and procedures.
- Meet defined quality accuracy and productivity targets.
- Identify documentation gaps and collaborate with physicians/clinical teams for appropriate clarification.
- Maintain up-to-date knowledge of ICD-10 coding guidelines and DRG methodologies.
DRG Validation
- Conduct detailed DRG validation reviews of inpatient medical records.
- Validate diagnoses procedures MCC/CC capture and overall DRG assignment.
- Identify coding discrepancies clinical validation issues and potential reimbursement risks.
- Review clinical documentation to ensure diagnoses are clinically supported and appropriately coded.
- Ensure compliance with CMS ICD-10 payer-specific guidelines and reimbursement methodologies.
- Conduct quality audits and document findings accurately.
- Provide recommendations for coding accuracy compliance and process improvement.
