Surgery/ IPDRG

1 - 6 years

3 - 6 Lacs

Posted:1 week ago| Platform: Foundit logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities:

Surgery Coding:

  • Assign accurate

    ICD-10-CM and CPT

    codes for multi-specialty surgical procedures
  • Apply

    modifiers

    , ensure correct sequencing, and adhere to

    NCCI edits

  • Review operative reports and apply appropriate

    global periods and surgical packages

  • Ensure coding is compliant with

    CMS, AHA Coding Clinic

    , and client policies

IPDRG Coding:

  • Review

    inpatient medical records

    , assign

    ICD-10-CM & ICD-10-PCS

    codes
  • Assign

    MS-DRGs or APR-DRGs

    using encoder tools
  • Validate principal diagnosis, secondary conditions, POA indicators, and procedures
  • Ensure documentation supports the assigned DRG and meets

    coding guidelines

Qualifications:

  • Education:

    Degree in Life Sciences / Paramedical / Nursing / Allied Health
  • Certifications:

    CPC, CCS, CIC (AHIMA or AAPC) Mandatory
  • Experience:

  • 26 years in

    Surgical

    and/or

    Inpatient DRG coding

  • Experience with

    3M Encoder, Optum CAC, EPIC, Cerner

    (preferred)

Skills Required:

  • Expert in

    ICD-10-CM, ICD-10-PCS, CPT, and HCPCS

  • Strong knowledge of

    DRG grouping methodologies (MS-DRG/APR-DRG)

  • Familiarity with

    coding guidelines, MCE edits, and query processes

  • Attention to detail and ability to handle complex cases with minimal supervision
  • Strong analytical, communication, and documentation skills

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