Inpatient DRG Reviewer

This position is posted by Jobgether on behalf of a partner company. We are currently looking for an Inpatient DRG Reviewer in India.

This role plays a key part in ensuring the accuracy and integrity of inpatient hospital claims through detailed DRG validation and coding review. You will analyze complex medical records and clinical documentation to verify correct MS-DRG and APR-DRG assignments in alignment with ICD-10 coding standards and payer-specific policies. The position operates at the intersection of clinical expertise and healthcare finance, directly contributing to cost optimization and claim accuracy. You will work on pre- and post-payment reviews that influence financial outcomes for healthcare stakeholders across the U.S. healthcare system. The environment is quality-driven, highly regulated, and requires strong analytical precision and independent judgment. This is a role for professionals who thrive in detail-oriented clinical review work and are motivated by improving healthcare financial integrity at scale.

This position is posted by Jobgether on behalf of a partner company. We are currently looking for an Inpatient DRG Reviewer in India.

This role plays a key part in ensuring the accuracy and integrity of inpatient hospital claims through detailed DRG validation and coding review. You will analyze complex medical records and clinical documentation to verify correct MS-DRG and APR-DRG assignments in alignment with ICD-10 coding standards and payer-specific policies. The position operates at the intersection of clinical expertise and healthcare finance, directly contributing to cost optimization and claim accuracy. You will work on pre- and post-payment reviews that influence financial outcomes for healthcare stakeholders across the U.S. healthcare system. The environment is quality-driven, highly regulated, and requires strong analytical precision and independent judgment. This is a role for professionals who thrive in detail-oriented clinical review work and are motivated by improving healthcare financial integrity at scale.

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

 Why Apply Through Jobgether? 

 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

 

 

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