IPDRG Medical Coder

3 days ago

Hyderabad, India Vipany Management Consulting Full time

We are seeking an experienced and detail-oriented Inpatient DRG Medical Coder to review and analyze inpatient medical records, assign accurate Diagnosis Related Group (DRG) codes, and ensure compliance with official coding guidelines, payer requirements, and regulatory standards. The role plays a critical part in supporting revenue integrity, optimizing reimbursement, and maintaining the highest standards of clinical documentation accuracy.

Key Responsibilities:

  • Review and analyze inpatient medical records to assign accurate DRG codes.
  • Abstract and validate key clinical information to ensure compliance with ICD-10-CM and ICD-10-PCS coding guidelines.
  • Identify, document, and resolve potential coding discrepancies.
  • Query physicians and other healthcare providers for clarification of documentation as required.
  • Collaborate with CDI (Clinical Documentation Improvement) specialists, billing teams, and other internal stakeholders to ensure accurate coding and proper reimbursement.
  • Stay updated with changes in coding standards, regulations, and payer-specific guidelines.
  • Contribute to audits, quality checks, and process improvements in coding practices.
  • Maintain strict confidentiality of patient records in compliance with HIPAA and organizational policies.

Required Qualifications & Skills:

  • Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or equivalent certification required.
  • Minimum 5 years of experience in inpatient coding with a focus on DRG assignment.
  • In-depth knowledge of ICD-10-CM/PCS coding systems, MS-DRG, APR-DRG, and applicable federal/state regulations.
  • Strong analytical, problem-solving, and attention-to-detail skills.
  • Excellent written and verbal communication skills.
  • Ability to work independently as well as collaboratively in a team environment.
  • Proficiency in EMR/EHR systems and coding software.

Preferred Qualifications:

  • Experience in clinical documentation improvement (CDI) or coding audits.
  • Familiarity with hospital revenue cycle processes.

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