Inpatient DRG Coding Expert
ConfidentialHyderabad / Secunderabad, Telangana, India5 days ago
Job descriptionOwn Case Mix Index performance : Assure accurate CMI through precise SOI and ROM leveling and consistent CC / MCC capture across complex inpatient encounters. Champion documentation integrity : Validate ICD-10-CM / PCS coding and final DRG assignment with a CMI-first lens. Drive query excellence : Close documentation gaps with clinically focused, audit-ready queries that support defensible CMI uplift. Lead compliance and education : Advise on DRG logic, POA indicators, and quality metrics (HAC, PSI, mortality), and deliver targeted provider education to sustain CMI gains. Prevent denials proactively : Implement pre-bill workflows; conduct root-cause analyses for DRG downgrades, payer rejections, and RAC triggers to protect CMI and revenue integrity. Analyze and act on trends : Monitor DRG shifts, outlier cases, low-acuity patterns, and under-captured CC / MCC opportunities; escalate findings with clear recommendations. Partner for impact : Collaborate with United States revenue cycle leaders to align coding practices with value-based metrics and CMI-linked performance goals. Stable or improving monthly CMI trend by service line CC / MCC capture rate improvement with sustained SOI / ROM accuracy Reduction in DRG downgrades and avoidable payer takebacks affecting CMI Increased audit sustainment rate for clinically validated queries and DRG assignments EMRs : EpicCare Inpatient, Oracle Cerner, Meditech Coding and CAC : Solventum 3M 360 CAC, Microsoft / Nuance, Optum EncoderPro Analytics : SQL-based audit tracking, Excel-based CMI and DRG-shift dashboards Collaboration : CDI portals and denial-resolution playbooks Minimum Experience : At least 8 years of hands-on United States inpatient CDI and DRG coding experience with deep expertise in ICD-10-CM / PCS, MS-DRG, and APR-DRG logic. Education : Graduate or Postgraduate degree in Life Sciences (Physicians or Registered Nurses preferred). Certifications : CCS, CDIP, CCDS, CIC, or equivalent (multiple credentials are a plus). Systems Expertise : Epic, Oracle Cerner, Meditech, Solventum, Nuance, Optum. Knowledge : HAC / PSI indicators, POA status, CMI optimization, clinical validation, and audit readiness. Soft Skills : Strong analytical mindset, consultative communication style, and the ability to translate data into CMI-impacting actions. Work Mode : Work From Office - Hyderabad Location. Impact at scale — Influence CMI, quality scores, reimbursement accuracy, and patient outcomes for leading United States health systems. Collaborative culture — Join an expert team that values transparency, learning, and continuous growth. Career acceleration — Access credentialing sponsorship, advanced CDI analytics, and leadership development pathways. Comprehensive package — Industry-leading compensation, credentialing support, and performance incentives.
Inpatient DRG Coding Expert :
We Are Hiring : Inpatient-DRG Coding Experts – Documentation Excellence, Case Mix Index Integrity, and Reimbursement Accuracy
Doctus Data Services Pvt. Ltd . is expanding its Inpatient (IP) DRG Coding practice and seeking 20+ experienced IP-DRG Coding Experts to join our growing team. This is not a standard coding role; it is an opportunity to lead denial prevention, optimize coding accuracy, and enhance Case Mix Index (CMI) while driving quality and financial outcomes for leading United States health systems.
Why This Role Matters Now :
- Healthcare Challenge : Rapidly rising denial rates. Your Impact : Deliver clean, audit-proof claims through proactive documentation and coding alignment that protects Case Mix Index (CMI).
- Healthcare Challenge : Reimbursement compression from Medicare Advantage and commercial payers Your Impact : Optimize DRG assignment to reflect true acuity and maintain accurate CMI.
- Healthcare Challenge : Quality-linked penalties (PSIs, readmissions, HACs) Your Impact : Improve coding accuracy that drives CMS quality metrics while sustaining accurate CMI.
- Healthcare Challenge : AI-driven audits and automated denials Your Impact : Stay ahead with clinically nuanced, precision-driven coding that ensures CMI integrity under scrutiny.
About the Role :
We are seeking seasoned inpatient coding experts who translate complex clinical documentation into accurate ICD-10-CM / PCS codes and defensible MS-DRG / APR-DRG assignments. Your work will directly impact CMI, SOI, ROM, CC / MCC capture, reimbursement accuracy, quality reporting, and audit readiness. This role goes beyond assigning codes — you will partner with Client CDI teams, educate providers, and ensure that every claim reflects true acuity and resource utilization.
What You Will Do :
Tools and Platforms You Will Work With :
What You Will Bring :
Why Join Doctus :
Ready to Redefine Documentation Excellence and CMI Performance! Send your résumé or LinkedIn profile to [HIDDEN TEXT] with the subject line : 'Inpatient-DRG Expert – LinkedIn.'
Skills Required
meditech, Sql, nuance, Cerner, Excel, Oracle
Create a job alert for this search
Inpatient Drg Coding • Hyderabad / Secunderabad, Telangana, India
Related jobs
- Promoted
Senior Medical Coding Specialist
Doctus Data Services Private LimitedHyderabad, Republic Of India, IN We are hiring experienced, certified Senior Inpatient DRG Medical Coders with extensive knowledge of ICD-10-CM and PCS Coding, and excellent communication skills.
Minimum 7 to 10 years of Coding exp...Show moreLast updated: 30+ days ago
- Promoted
Senior Medical Coder - Profee Coding, HealthCare
AmazonHyderabad, Telangana, India This job is with Amazon, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community.
Please do not contact the recruiter directly.DESCRIPTION : The ...Show moreLast updated: 9 days ago
- Promoted
Senior Medical Coder - IP DRG with CCS / CIC Certification
Thryve Digital Health LLPhyderabad, telangana, in Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keep us ahead of the curve.
Thryve delivers next-generation solu...Show moreLast updated: 30+ days ago
- Promoted
Inpatient Coding Professional
Doctus Data Services Private LimitedHyderabad, Republic Of India, IN We are hiring experienced, certified Senior Inpatient DRG Medical Coders with extensive knowledge of ICD-10-CM and PCS Coding, and excellent communication skills.
Minimum 7 to 10 years of Coding exp...Show moreLast updated: 30+ days ago
- Promoted
Senior Medical Coder- Ip-Drg
Doctus Data Services Private LimitedHyderabad, Republic Of India, IN We are hiring experienced, certified Senior Inpatient DRG Medical Coders with extensive knowledge of ICD-10-CM and PCS Coding, and excellent communication skills.
Minimum 7 to 10 years of Coding exp...Show moreLast updated: 30+ days ago
- Promoted
Senior Medical Coder- IP-DRG
ConfidentialHyderabad / Secunderabad, Telangana, India We are hiring experienced, certified Senior Inpatient DRG Medical Coders with extensive knowledge of ICD-10-CM and PCS Coding, and excellent communication skills.
Minimum 7 to 10 years of Coding exp...Show moreLast updated: 30+ days ago
- Promoted
Hiring Medical Coding-HCC
ConfidentialHyderabad / Secunderabad, Telangana, India At MedCode, we are dedicated to empowering healthcare providers with accurate, efficient, and reliable medical coding services.
Our team of certified coders ensures compliance standards are met whil...Show moreLast updated: 5 days ago
- Promoted
DENIAL CODER
ConfidentialHyderabad / Secunderabad, Telangana, Chennai, Bengaluru / Bangalore Job Title : Denial Medical Coder.Experience : 1–3 years in Denial Coding.Qualification : Life Science / Biotechnology / Nursing / Allied Health background.
Review medical records and assign accurate IC...Show moreLast updated: 5 days ago
- Promoted
DRG Coding Expert
Doctus Data Services Private LimitedHyderabad, Republic Of India, IN We are hiring experienced, certified Senior Inpatient DRG Medical Coders with extensive knowledge of ICD-10-CM and PCS Coding, and excellent communication skills.
Minimum 7 to 10 years of Coding exp...Show moreLast updated: 30+ days ago
- Promoted
Manager Medical Coding-(IP DRG)
ConfidentialHyderabad / Secunderabad, Telangana Lead and manage a team of 100+ to 300 coders to ensure the timely and accurate completion of medical coding tasks.Oversee the day-to-day operations of the medical coding department, ensuring high p...Show moreLast updated: 30+ days ago
- Promoted
Senior Medical Coder - Ip Drg With Ccs / Cic Certification
Thryve Digital Health LLPHyderabad, Republic Of India, IN Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keep us ahead of the curve.
Thryve delivers next-generation solu...Show moreLast updated: 30+ days ago
- Promoted
- New!
Director - Middle Operations - Medical Coding
PRACTOVA TECHNOLOGY LLPHyderabad, India Title : Director - Middle Operations Location : Hyderabad Experience : 12-15 years &l...Show moreLast updated: 15 hours ago
- Promoted
Assistant Manager / Manager / Senior Manager - Medical Coding
AXIS SERVICESHyderabad, India Medical Coding (AM | Manager | Sr.Manager) 7 - 12 years - 15-30 Lacs P.Mumbai (All Areas), Hyderabad, Aurangabad - Higher Positions for Medical Coding (AM | Manager | Sr.Manag...Show moreLast updated: 30+ days ago
- Promoted
Hiring AVP - HIM Coding
ConfidentialHyderabad / Secunderabad, Telangana, India Coding certification from AHIMA / AAPC - CCS; CCS-P; CPC, CRC etc.Minimum 16 - 25 years of medical coding experience in professional.
Experience of working across multiple coding specialties and opera...Show moreLast updated: 5 days ago
- Promoted
Denials Medical Coder
ConfidentialChennai, Bengaluru / Bangalore, Hyderabad / Secunderabad, Telangana Review and analyze denied claims to identify reasons for denial and assign appropriate ICD-10, CPT, and HCPCS codes.Resolve coding-related denials by making necessary corrections and ensuring compl...Show moreLast updated: 30+ days ago
- Promoted
Senior Medical Coder- IP-DRG
Doctus Data Services Private LimitedHyderabad, Telangana, India We are hiring experienced, certified Senior Inpatient DRG Medical Coders with extensive knowledge of ICD-10-CM and PCS Coding, and excellent communication skills.
Minimum 7 to 10 years of Coding exp...Show moreLast updated: 30+ days ago
- Promoted
Senior Medical Coder
OlleyaHealth Pvt Ltdsecunderabad, telangana, in Position : Senior Medical Coding Specialist – AI / ML Audit & Training (Athena Experience.Company : OlleyaHealth | https : / / www.
Location : Mumbai or Bangalore (Fully Remote – Occasional Onsite Meetings)....Show moreLast updated: 18 days ago
- Promoted
Hiring AVP-Medical Coding
ConfidentialHyderabad / Secunderabad, Telangana, India CorroHealth is the leading provider of clinically led healthcare analytics and technology-driven solutions dedicated to positively impacting the financial performance of hospitals and health system...Show moreLast updated: 5 days ago