5 - 10 years

10 - 17 Lacs

Posted:8 hours ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Inpatient DRG Medical Coder

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.

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