ED, Radiology, Denial, surgery, IPDRG, ENM Coder

Axis Services

3 - 8 years

3 - 7 Lacs

Hyderabad Telangana India

Posted:2 weeks ago| Platform: Foundit logo

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Skills Required

DRG coding denials and appeal coding Cpt ICD-10-PCS

Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities:

Review and assign accurate
ICD-10-CM, CPT, and HCPCS codes
based on clinical documentation.
Assign
DRGs
using appropriate
ICD-10-PCS
for inpatient encounters (IPDRG).
Apply correct
modifiers, MDM levels
, and code sequencing.
Code various specialties including:
ED
including trauma and critical care
Radiology
diagnostic and interventional
Surgery
multi-specialty (Ortho, General, ENT, Neuro, etc.)
E&M
office visits, inpatient and outpatient
Denials
review and correct coding for re-submission of denied claims
Ensure 95%+ accuracy and meet daily productivity benchmarks.
Stay updated with
CMS, AHA Coding Clinic
, and payer-specific guidelines.
Work closely with QA and query physicians for clarifications when necessary.

Eligibility Criteria:

Education:
Life Science / Paramedical / Nursing background
Certifications (Mandatory):
CPC / COC / CCS / CIC (AAPC or AHIMA certified)
Experience:
26 years of experience in any
3 or more
of the mentioned specialties
DRG coding experience is
mandatory
for IPDRG role
Denial management or re-submission coding experience preferred

Key Skills Required:

Strong knowledge of
ICD-10-CM, CPT, ICD-10-PCS, HCPCS, and DRG grouping
Proficient in
EHR and encoder tools
(3M, TruCode, Optum, EPIC, Cerner)
Understanding of
medical necessity, LCD/NCD guidelines, and NCCI edits
Analytical mindset for handling
denials and appeal coding
Strong documentation review, clinical understanding, and attention to detail

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