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DRG Coder @ Leading Client

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Leading Client  DRG Coder

Job Description

Job Summary:

We are looking for a dynamic Techno-Functional Analyst with a strong foundation in DRG coding and a passion for data analytics. This role is ideal for professionals who can bridge the gap between clinical operations and technical analytics, leveraging coding expertise to drive data-driven insights and process improvements.

Key Responsibilities:

  • Perform and validate DRG coding for inpatient claims, ensuring accuracy and compliance.
  • Translate business and clinical requirements into analytical solutions using tools like SQL, Python, or Tableau.
  • Collaborate with cross-functional teams to analyze provider spend, contract-level performance, and reimbursement trends.
  • Support automation and optimization of coding workflows using technology.
  • Document functional requirements and contribute to system enhancements or transformation projects.

Qualifications:

  • Bachelors degree in Biotechnology, Bioinformatics, Computer Science, or a related technical field.
  • 23 years of experience in DRG coding (ICD-10-CM/PCS, MS-DRG/APR-DRG).
  • Strong interest and foundational skills in data analytics and healthcare data.
  • Ability to interpret and work with large datasets, including identifying patterns and anomalies.
  • Familiarity with data visualization and reporting tools (e.g., Excel, Power BI, Tableau).
  • Basic programming or scripting knowledge (SQL, Python preferred).

Preferred Skills:

  • Experience working in a techno-functional role within healthcare or payer-provider environments.
  • Understanding of healthcare reimbursement models and contract structures.
  • Exposure to ETL processes, data warehousing, or healthcare data platforms.
  • Strong communication skills to liaise between technical and non-technical stakeholders.

Job Classification

Industry: Recruitment / Staffing
Functional Area / Department: Data Science & Analytics
Role Category: Data Science & Analytics - Other
Role: Data Science & Analytics - Other
Employement Type: Full time

Contact Details:

Company: Leading Client
Location(s): Bengaluru

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Keyskills:   compliance clinical operations python biotechnology data analytics data warehousing power bi sql healthcare analytics healthcare data scripting tableau automation bioinformatics data visualization etl reporting tools programming

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Leading Client

Big 4 Consulting - Statutory Audit