📍 Jobs Near Me
For Job Seekers For Employers
📍

HiringNearMe.work

Local Jobs, Zero Commute

Jobs
Home › Jobs Near India › DRG Reviewer-2
📍 Local Job Near You

DRG Reviewer-2

🏢
Zelis
📍 Hyderabad, India
📍
Location Hyderabad
📅
Posted June 20, 2026
🚗
Commute Local Area
🎯
Local Opportunity Near You!

This job is in your area. Enjoy a short commute and work close to home.

📋
Job Description

Position Overview

:

The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD-10 Official Coding Guidelines, AHA Coding Clinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients.

Key Responsibilities:

  • Perform comprehensive inpatient DRG validation reviews to determine accuracy of the DRG billed, based on industry standard coding guidelines and the clinical evidence supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due consideration to any applicable medical policies, medical best practice, etc.

    • Apply for This Job

    Submit Application

    Quick and secure application process

    📍 Location Details

    🌆
    City
    Hyderabad
    🗺️
    Country
    India
    🚗
    Commute
    Local Area

    🔍 More Jobs Nearby

    Explore other opportunities in Hyderabad

    View Local Jobs