IP-DRG Coder

Axis Services

1 - 4 years

2 - 5 Lacs

Hyderabad Telangana India

Posted:1 week ago| Platform: Foundit logo

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Skills Required

DRG grouping Coding Guidelines CMS rules complications comorbidities

Work Mode

On-site

Job Type

Full Time

Job Description

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)

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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