About the role

Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies.

We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MS-DRG/APR-DRG) coding.

Eligibility Criteria

- 1 to 7+ Years of work experience in IP DRG medical Coding
- Education Any Graduate, Postgraduate
- Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) Must be active during joining and verified.
- Robust knowledge of anatomy, physiology, and medical terminology
- Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders)




- Able to work independently and willing to adapt and change as per business/process requirement.

Responsibilities

- Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures.
- Assigned and sequenced codes accurately based on medical record documentation.
- Assigned POA indicators correctly.
- Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims
- Adhered to coding clinics and guidelines, and queried physicians for clarification as needed.
- Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed.
- Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.

📌 Medical Coding Professional (Bengaluru)
🏢 R1 RCM
📍 Bengaluru