Medical Coding - IP DRG

Role Summary:

The Inpatient Hospital Billing and Coder ensure timely and accurate task completion. This role requires in-depth knowledge of IP DRG coding, report management, and process analytics, along with proven expertise in hospital billing. The coder is responsible for accurate coding and following the set guidelines.

Job Summary:

This role offers the opportunity to contribute to high-quality solutions for our global customers in a challenging environment. The ideal candidate will have extensive experience in hospital billing and denial management, and will lead the development and execution of technical deliverables, providing innovative solutions for clients. Strong teamwork, problem-solving, and communication skills are essential.

Essential Responsibilities

Review inpatient hospital medical records and assign accurate billable codes (Revenue, HCPC, Modifiers, Diagnosis) based on relevant billing requirements.

Ensure all file documentation adheres to quality standards and company policies.

Prepare and deliver information to clients based on their expectations.

Identify and recommend improvements to documentation workflows and processes to enhance accuracy and efficiency.

Utilize advanced Microsoft Excel skills for data input, function creation, sorting, and filtering large datasets.

Maintain strict adherence to company and department policies regarding security and confidentiality.

Develop knowledge about payor policies.

Develop the team's talent, drive employee retention and engagement.

Education

Required: Bachelor's degree in life sciences (e.g., Nursing, BDS, BAMS, BUMS, Clinical Biotech, Microbiology or Pharmacy).

Certification: CIC from AAPC or CCS from AHIMA.

Experience

Required: 6 - 10 years of experience in Inpatient Hospital Billing (IPDRG),

Preferred:

Working knowledge of Epic and 3M 360 systems.

Exposure to multiple specialty inpatient coding areas.

Excellent communication skills.

Exceptional attention to detail and ability to multitask.

High level of self-motivation and energy with minimal supervision.

Highly developed oral and written communication skills.

Ability to work independently and collaboratively in a team.

Strong organizational skills.

Ability to follow standard protocols to accurately complete assigned tasks.

Experience documenting work assignments, enrollment follow-up status, and in-process tasks within specified systems and timeframes.

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