Home
Communities
Companies
- Companies
  
  Discover best places to work
- Compare Companies
  
  Compare & find best workplace
- Add Office Photos
  
  Bring your workplace to life
- Add Company Benefits
  
  Highlight your company's perks
Reviews
- Company reviews
  
  Read reviews for 6L+ companies
- Write a review
  
  Rate your former or current company
Salaries
- Browse salaries
  
  Discover salaries for 6L+ companies
- Salary calculator
  
  Calculate your take home salary
- Are you paid fairly?
  
  Check your market value
- Share your salary
  
  Help other jobseekers
- Gratuity calculator
  
  Check your gratuity amount
- HRA calculator
  
  Check how much of your HRA is tax-free
- Salary hike calculator
  
  Check your salary hike
Interviews
- Company interviews
  
  Read interviews for 40K+ companies
- Campus placements
  
  Interviews questions for 2K+ colleges
- Share interview questions
  
  Contribute your interview questions
Jobs
Awards

WINNERS AWAITED!
- ABECA 2025
  
  WINNERS AWAITED!
  
  AmbitionBox Employee Choice Awards - 4th Edition
- ABECA 2024
  
  AmbitionBox Employee Choice Awards - 3rd Edition
- AmbitionBox Best Places to Work 2022
  
  2nd Edition
- AmbitionBox Best Places to Work 2021
  
  1st Edition

Add office photos

Employer? Claim Account for FREE

ZignaAI

Compare

4.8

based on 4 Reviews

3 ZignaAI Jobs

DRG Auditing Specialist

ZignaAI

4.8

based on 4 Reviews

2-3 years

Hyderabad / Secunderabad

1 vacancy

DRG Auditing Specialist

ZignaAI

posted 3mon ago

Job Role Insights

Key skills for the job

Medical Coding Data Analysis Costing Healthcare Machine Learning Auditing

+ 3 more

Job Description

Our organization is seeking a detail-oriented DRG Auditing Specialist. This role focuses on analyzing health data, performing DRG audit quality reviews. The ideal candidate will hold a coding credential from AHIMA or AAPC, have completed coursework in medical terminology, anatomy, and physiology, and have relevant experience in DRG with a deep understanding of coding guidelines, payor guidelines, and contracts.

Responsibilities:

Perform comprehensive audits using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes.
Ensure compliance with healthcare regulations and maintain awareness of industry changes.
Generate and present detailed reports on audit findings and recommendations for improved DRG auditing.
Support in researching and documenting inpatient audits to enable reimbursement accuracy.
Possess the ability to work with a cross-functional team and communicate the DRG audit results clearly.
Other duties as assigned as needed by your leadership to support the program.

Qualifications:

Active coding credential from AHIMA or AAPC (RHIA, RHIT, CCS, CCS-P, CIC, COC, CPC). A degree in a healthcare-related field is a plus.
Minimum of 2-3 years of experience conducting DRG and/or APC audits.
In-depth knowledge of coding guidelines, payor guidelines, and contracts.
Proven ability in managing time and prioritizing work effectively.
Excellent written and verbal communication skills.
In-office position on mid-shift.
Experience with AI programming, particularly in machine learning and deep learning models, is a plus.

Employment Type: Full Time, Permanent

Read full job description

Prepare for Specialist roles with real interview advice