Graduate in any discipline (B.Sc./M.Sc. Nursing, B. Pharm, M. Pharm, or Life Sciences education preferred)
Certifications (Mandatory):
- Certified Professional Coder (CPC) American Academy of Qualified Coders (AAPC)
- Certified Coding Specialist (CCS) American Health Information Management Association (AHIMA)
Job Summary: looking for experienced IPDRG Medical Coders to join our growing RCM team in Hyderabad. The ideal candidate must have solid inpatient coding experience and a strong understanding of DRG/APC grouping, coding compliance, and insurance rules.
Key Responsibilities:
- Assign accurate ICD-10-CM/PCS codes for inpatient, outpatient, and emergency department records.
- Ensure coding accuracy and compliance with all regulatory and client-specific guidelines.
- Audit and review coded data for quality and consistency.
- Maintain up-to-date knowledge of coding changes and clinical documentation standards.
- Work collaboratively with clinical documentation, operations, and quality teams.
Required Skills & Knowledge:
- Minimum 1–8 years of overall experience with at least 3 years of coding in an acute care setting (inpatients, outpatients, or emergency).
- Thorough understanding of Clinical Documentation and Query Process.
- Strong knowledge of medical record content, including Electronic Medical Records (EMRs).
- Expertise in EHR/EMR systems such as Epic, Cerner, or Athena.
- In-depth understanding of coding compliance, DRG/APC grouping, and insurance rules.
- Excellent attention to detail, analytical mindset, and problem-solving ability.