Erendiz Solutions India Pvt Ltd jobs - In-Patient Diagnosis-Related Groups - IP DRG Coder

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 In-Patient Diagnosis-Related Groups - IP DRG Coder 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.

• Strong 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 an added advantage.