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Quality Analyst -Clinical Documentation Improvement (CDI)/IP DRG,

ResourceTree Global Services Pvt Ltd · Chennai

📅 08/08/2026
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Minimum 3 years of experience in CDI/ IP DRG Coding with a strong focus on IP. Strong knowledge of APR-DRG/MS-DRG, ICD-10 CM/PCS coding, clinical guidelines, with a strong understanding of disease processes, Clinical indicators, and treatments. HACs, PSIs & Mortality models. Experience performing concurrent CDI Final review/DRG reconciliation and reporting DRG mismatch disagreements. Facilitating and obtaining appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness and expected risk of mortality. Should have hands-on experience on how to raise compliant queries. Interacting directly with physicians to query for more specific documentation and to provide documentation guidelines from ICD-9 and ICD-10 standards. Creating documentation education classes to general surgery residents, increasing the level of reporting, which led to increased revenues. Clinically evaluate how the health record translates into coded data, including review of provider and other clinician documentation, lab results, diagnostic information, and treatment plans. Communicate with providers either through discussion or in writing (e.g., formal queries) regarding missing, unclear, or conflicting health record documentation, and clarify the information as warranted. Strong experience performing IP Document reviews to clarify Dx/Pxs where inadequate/confl icting documentation is suspected. Tools & Certifications: Working experience with Epic & 3M 360. Any of CCS/CIC/CDIP Certified Qualification: With at least 3 years of Clinical Documentation Improvement Specialist experience With at least 3-8 years of inpatient coding (IPDRG) Job Location: Bangalore, Chennai, Hyderabad, Salem, Trichy & Pune Designation: SME Mode: WFO .
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