Job Description
- Maintains a working knowledge of CPT-4, ICD-10-CM, and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates, and third-party requirements regarding coding and documentation guidelines
- Knowledge of Physician query process and ability to write physician queries in compliance with OIG and UHDDS regulations.
- Knowledge of MS-DRG (Medicare Severity Diagnosis Related Groups), MDC (Major Diagnostic Categories), AP-DRG (All Patient DRGs), APR-DRG (All Patient Refined DRGs) with hands-on experience in handling MS-DRG
- Knowledge of CC (complication or comorbidity) and MCC (major complication or comorbidity) when used as a secondary diagnosis
- Understanding and exposure to Clinical Documentation Improvement (CDI) program to work in tandem with MS-DRG
- Hands-on experience in any Encoder tools specific to Hospital coding, such as 3M, Trucode, etc., is preferred.
- The coders assigned on the project would be reviewing Inpatient and observation medical records,



determining and assigning accurate diagnosis (ICD-10-CM) codes and Procedure codes (ICD-10-PCS and CPT) codes with appropriate modifiers in addition to reporting any deviations promptly
- Maintains a high level of productivity and quality
- Achieve the set targets and cooperate with the respective team in achieving the set Turnaround Time, keeping an elevated level of accuracy
- We will screen the coders for reasonable comprehension and analytical skills as a prerequisite for reviewing the medical documentation and delivering accurate Coding.
- The coders must deliver an internal accuracy of 95%, meet the turnaround time requirements, and meet the productivity standards set internally per the specialty
- Maintains a high degree of qualified and ethical standards
- Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards
- Focuses on

📌 Client Partner (Chennai)
🏢 Access Healthcare Services
📍 Chennai