Roles and Responsibilities:
Review, analyze and interpret the entire electronic medical record for the current admission to identify all diagnoses and procedures documented during the admission.
Determine and assign the principal and significant secondary ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes.
Identify cases with clinical indicators that may require provider documentation clarification and/or specificity in order to accurately assign codes; collaborate with CDIS team as part of the clinical documentation validation and physician query workflows.




Analyze code assignment and sequence to assure proper DRG assignments; sequence codes in compliance with ICD-10 Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS) and other regulatory requirements to accurately assign the DRG.
Analyze the medical record documentation for complications and comorbidities
Analyze medical record documentation for optimum severity of illness and risk of mortality scores
Confirm Admission-Discharge-Transfer (ADT) information and correct when necessary
Suggest and assist with workflow process improvements as appropriate. Participate in coding quality and productivity processes.
Strictly follow HIPPA regulations to maintain patient data confidential.

Shift : 8 AM IST - 5 PM IST (Both side cab)

📌 Hiring Ipdrg Coder Innova Solutions Hyderabad
🏢 Innova Solutions
📍 Hyderabad