IP-DRG Coder
4 weeks ago
Key Responsibilities:
- Review inpatient medical records and code all diagnoses and procedures
- Assign appropriate MS-DRGs/APR-DRGs based on the principal diagnosis, procedures, and secondary conditions
- Use ICD-10-CM & ICD-10-PCS codes and ensure accuracy with POA indicators
- Validate DRG grouping using tools such as 3M Encoder / TruCode / Optum
- Ensure compliance with Official Coding Guidelines, CMS rules, and client-specific protocols
- Work with auditors and QA teams to resolve queries and improve documentation
- Meet or exceed productivity and quality benchmarks (9598% coding accuracy)
Eligibility Criteria:
- Education: Degree in Life Sciences / Nursing / Paramedical / Allied Health
- Certifications (Mandatory): CPC, CCS, or CIC (AAPC / AHIMA)
- Experience: 26 years in inpatient coding, with strong DRG coding knowledge
- Familiar with hospital EMRs like Epic, Cerner, Meditech, etc.
Key Skills:
- Expert in ICD-10-CM, ICD-10-PCS, DRG grouping, and hospital billing processes
- Deep understanding of complications, comorbidities (CC/MCC), SOI/ROM, and query practices
- Familiarity with coding edits (MCE, CCI) and reimbursement impact
- High attention to detail and clinical understanding of complex inpatient cases
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