DRG Reviewer

Zelis

📍 Hyderabad, Telangana, India 💼 Full time 🕒 Posted June 21, 2026

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Job Description

Position Overview
The InpatientDRGReviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatientDRGreviews based on industry standardinpatient codingguidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatientDRGclaims as they compare with medical records ICD-10 OfficialCodingGuidelines, AHACodingClinic and client specific coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest savings for clients. Please share relevant profiles at the earliest. Let us know if you need any further details.
We are looking for professionals with strong expertise inDRG. The ideal candidates should have:
KeyResponsibilities:
Perform comprehensive inpatientDRGvalidation reviews to determineaccuracyof theDRGbilled, based on industry standardcodingguidelines and the clinical evidence supplied by the provider in the for...
            

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Job Details

Location Hyderabad, Telangana
Job Type Full time
Category Other Healthcare Practitioners and Technical Occupations
Posted Date June 21, 2026
Application Deadline July 31, 2026