Ipdrg Medical Coder

Client Partner /Sr. Client Partner

Role: Non-voice

Domain: Healthcare

Reporting to: Group Leader / Senior Group Leader

Work Location: Chennai, Mumbai ,Pune ,Noida, Trivandrum ,Coimbatore

Key Responsibilities:

• Assign DRG Codes: Accurately assign DRG codes to inpatient records using ICD-10- CM/PCS

coding systems based on clinical documentation and physician notes. Ensure codes reflect the

correct diagnosis, procedures, and the overall complexity of care.

• Clinical Documentation Review: Review and analyze medical records to verify diagnoses,

procedures, and treatments. Work with physicians and healthcare providers to clarify and

improve clinical documentation when needed for proper coding.

• DRG Assignment: Utilize the DRG methodology to ensure accurate and consistent DRG

assignment based on the severity of illness (SOI) and risk of mortality (ROM), among other

factors. Apply coding conventions and guidelines as per CMS (Centers for Medicare & Medicaid

Services) and payer requirements.

• Continuous Education: Keep up to date with coding guidelines, coding technology, and industry

changes related to DRGs, including changes in ICD-10-CM/PCS, federal regulations, and insurance

payer policies.

• Billing Support: Work closely with the billing department to resolve coding issues and ensure that

all claims are processed correctly and promptly for reimbursement. Ensure timely submission of

all inpatient claims for accurate payment processing

Job requirements:

• Any Graduate; associates degree in health information management, Medical Coding, or a related field

preferred

• Specialization: Inpatient DRG
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification

required.

Qualifications:

• Minimum 1 to 6 years of experience in IPDRG medical coding -US Healthcare