Job Description

About the role
Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10- CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies. We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding.

Eligibility Criteria • 1 to 7+ Years of work experience in IP DRG medical Coding • Education – Any Graduate, Postgraduate • Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) – Must be active during joining and verified. • Strong knowledge of anatomy, physiology, and medical terminology • Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders) • Able to work independently and willing to adapt and change as per business/process requirement.

Responsibilities • Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures. • Assigned and sequenced codes accurately based on medical record documentation. • Assigned POA indicators correctly. • Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims • Adhered to coding clinics and guidelines, and queried physicians for clarification as needed. • Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed. • Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.

Skills Required