We are looking for an experienced AP-DRG Medical Coder specializing in Pediatrics with a strong understanding of medical coding guidelines, clinical documentation, and reimbursement methodologies. The ideal candidate should possess a recognized Medical Coding Certification and have hands-on experience in AP-DRG coding.
Key Responsibilities
- Review and analyze pediatric medical records for accurate code assignment.
- Assign appropriate ICD-10-CM, ICD-10-PCS, and DRG codes as per coding
guidelines.
- Ensure compliance with AP-DRG coding standards and payer requirements.
- Maintain coding accuracy, productivity, and quality targets.
- Identify documentation gaps and work with internal teams for clarification.
- Stay updated on coding regulations and industry best practices.
Requirements
- 3+ years of experience in AP-DRG Medical Coding with a focus on Pediatrics.
- Robust knowledge of ICD-10-CM, ICD-10-PCS, DRG, and reimbursement
methodologies.
- Experience reviewing and coding pediatric inpatient records.
- Excellent analytical and attention-to-detail skills.