IP-DRG Coder

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 (95–98% coding accuracy)

Eligibility Criteria:

• Education: Degree in Life Sciences / Nursing / Paramedical / Allied Health
• Certifications (Mandatory): CPC, CCS, or CIC (AAPC / AHIMA)
• Experience: 2–6 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