4 Hospital Coding Jobs

We are seeking an experienced and detail-oriented Inpatient DRG Medical Coder to review and analyze inpatient medical records, assign accurate Diagnosis Related Group (DRG) codes , and ensure compliance with official coding guidelines, payer requirements, and regulatory standards. The role plays a critical part in supporting revenue integrity, optimizing reimbursement, and maintaining the highest standards of clinical documentation accuracy. Key Responsibilities: Review and analyze inpatient medical records to assign accurate DRG codes. Abstract and validate key clinical information to ensure compliance with ICD-10-CM and ICD-10-PCS coding guidelines. Identify, document, and resolve potential coding discrepancies. Query physicians and other healthcare providers for clarification of documentation as required. Collaborate with CDI (Clinical Documentation Improvement) specialists, billing teams, and other internal stakeholders to ensure accurate coding and proper reimbursement. Stay updated with changes in coding standards, regulations, and payer-specific guidelines. Contribute to audits, quality checks, and process improvements in coding practices. Maintain strict confidentiality of patient records in compliance with HIPAA and organizational policies. Required Qualifications & Skills: Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or equivalent certification required. Minimum 5 years of experience in inpatient coding with a focus on DRG assignment. In-depth knowledge of ICD-10-CM/PCS coding systems, MS-DRG, APR-DRG, and applicable federal/state regulations. Strong analytical, problem-solving, and attention-to-detail skills. Excellent written and verbal communication skills. Ability to work independently as well as collaboratively in a team environment. Proficiency in EMR/EHR systems and coding software. Preferred Qualifications: Experience in clinical documentation improvement (CDI) or coding audits. Familiarity with hospital revenue cycle processes.

As a Provider Dispute Specialist at our organization, you will play a crucial role in reviewing provider disputes related to DRG Coding and Clinical Validation, Itemized Bill Review, and Clinical Chart Review. Your responsibilities will include submitting explanations of dispute rationale back to providers within the designated timeframe to ensure client turnaround times are met. You will be accountable for managing claim dispute volume on a daily basis, adhering to client turnaround time, and department Standard Operating Procedures. In this role, you will serve as a subject matter expert for the Expert Claim Review Team, providing support on day-to-day activities, troubleshooting, and ensuring data accuracy. Additionally, you will be responsible for creating and presenting educational material to Expert Claim Review Teams and other departments based on dispute findings. Your role will also involve research and analysis of content for bill review, utilizing strong coding and industry knowledge to maintain bill review content. Furthermore, you will be required to stay updated on regulatory changes and compliance enhancements by conducting research from multiple sources. Your support for client-facing teams regarding inquiries related to provider disputes will be crucial. Effective communication and collaboration with various teams within the organization, including the CMO and members of Expert Claim Review Product and Operations teams, will be essential to address important issues and trends. To excel in this role, you should possess a minimum of 5 years of experience in reviewing and/or auditing ICD-10 CM, MS-DRG, and APR-DRG claims. A solid understanding of audit techniques, revenue opportunities identification, and financial negotiation with providers is preferred. Knowledge of Health Insurance, Medicare guidelines, hospital coding and billing rules, and clinical skills for evaluating Medical Record Coding are necessary. In addition to technical skills, you should demonstrate strong analytical, communication, problem-solving, and project management abilities. An active Inpatient Coding Certification (e.g., CCS, CIC, RHIA, RHIT, CPC or equivalent) is required, along with a preference for a Bachelor's Degree in business, healthcare, or technology. Registered Nurse licensure is also preferred. At our organization, we are committed to fostering diversity, equity, inclusion, and belonging. We value the unique perspectives and backgrounds that each individual brings to the table. We encourage candidates from traditionally underrepresented communities to apply, including women, LGBTQIA people, people of color, and people with disabilities. We strive to make our application process accessible to all candidates and provide reasonable accommodations for qualified individuals with disabilities.,

Duties & Responsibilities : Financial Targets • Manage all aspects of delivery of operations for the assigned Line of Business (LOB). • Own financial performance and profitability for client accounts under the LOB. • Oversee P&L responsibility and sustain EBITDA margins. • Drive employee engagement, manageremployee relationships, retention, and overall satisfaction. Client Management • Maintain high levels of client satisfaction through exceptional service delivery. • Lead client onboarding for new assignments and programs. • Build and maintain strong client relationships through regular engagement. • Identify potential issues early and resolve them proactively. • Develop servicing and retention strategies to ensure client loyalty. • Continuously enhance service quality and delivery standards for meeting client expectations. Governance • Establish and enforce governance frameworks across programs. • Collaborate with cross-functional teams for seamless operations. • Provide functional guidance and operational direction to teams. • Execute corporate initiatives including process standardization and growth strategies. • Ensure compliance with quality standards and organizational norms. Team Leadership • Build trust and foster confidence within teams to ensure operational excellence. • Create a positive work environment that: • Reduces employee stress, • Enhances efficiency, and • Boosts morale. • Monitor team performance, provide coaching, and drive productivity. Talent Development • Mentor and support new leaders and employees. • Identify training needs, arrange capacity-building initiatives, and ensure continuous skill enhancement across teams. Requirement : • Strong expertise in ICD-9, ICD-10, and multispecialty medical coding within the US Healthcare domain. • Preference for candidates with hands-on experience in Hospital Coding operations. • Proven track record in P&L and EBITDA management, driving customer satisfaction, and achieving sustained margin growth. • Demonstrated leadership and people management skills, with experience managing large teams of 500+ FTEs. • Willingness and flexibility to travel across the US, Philippines, and various locations within India as required. Qualification & Experience • Graduate in any discipline. • Minimum 18+ years of experience in US Healthcare Medical Coding, with extensive experience in hospital coding operation preferred

Role & responsibilities In hospitals, coding roles involve translating medical information into standardized codes for billing, record-keeping, and data analysis . Medical coders review patient records, assign appropriate codes, and ensure compliance with coding standards and regulations. Specific Roles and Responsibilities: Translating Medical Information: Medical coders examine patient charts, including physicians' notes, lab reports, and procedure documentation, to identify diagnoses and procedures. Assigning Codes: They assign alphanumeric codes based on national classification systems like ICD-10, CPT, and HCPCS. Ensuring Accuracy: They verify the accuracy and completeness of medical records and coding practices, ensuring compliance with relevant guidelines. Communicating with Healthcare Professionals: They may communicate with physicians to clarify documentation and coding practices. Quality Assurance: They may conduct audits to ensure coding accuracy and identify areas for improvement. Data Analysis and Reporting: They may contribute to data analysis and reporting for research, quality improvement, and public health surveillance. Reimbursement and Billing: Their work impacts reimbursement from insurance companies and government agencies. Compliance: They adhere to legal and regulatory requirements regarding coding procedures and practices. Supporting Healthcare Staff: They may provide training and guidance to healthcare providers on accurate documentation and coding practices. Patient Data Confidentiality: They ensure the confidentiality and security of patient records. Preferred candidate profile HOSPITAL CODER- CODER/ QA /SUPERVISOR/TL EXPERIENCE ; 2 TO 10 YEARS CERTIFIED ANY CERTIFICATION FINE SKILLS ;REVENUE CODE - 0-9 SERIES SHIFT TIME ;8 AM TO 5 PM LOCATION ;CHENNAI GUINDY