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