Perform comprehensive secondary quality audits on inpatient medical records reviewed by DRG Auditors.
Validate accuracy of principal and secondary diagnoses, procedures, POA indicators, discharge disposition, and final DRG assignment.
Ensure compliance with IPPS regulations, ICD-10-CM/PCS guidelines, official coding conventions, and payer/client-specific requirements.
Adhere strictly to all Standard Operating Procedures (SOPs) without deviation.
Ensure 100% compliance with HIPAA and data security standards at all times.
Use quality tools, 3M software, NLP tools, and internal systems effectively for audit and reporting activities.
Demonstrate strong working knowledge of Microsoft Excel, Outlook, and Word for documentation and reporting.
Follow all project-specific protocols, workflows, and client instructions.

Education
Bachelor’s Degree in Science or Nursing.
CPC/CPMA; Min. 3+ Years experience After Certification
4 years to 12 years’ experience in medical coding IVR and General surgery
Working in Quality team is an added advantage.
Minimum 5 years of experience in Inpatient DRG coding or auditing.
Minimum 1–2 years of experience in a Quality Analyst or Quality Auditing role.
Prior experience conducting IP DRG quality audits is preferred.
Hands-on exposure to 3M encoder software and NLP tools.
Strong proficiency in Microsoft Excel, including trackers, analysis, and reporting.
Experience working in SLA-driven, high-compliance healthcare environments.
Strong written (documentation) and oral communication skills

Assistant Manager – Auditors

Key skills