About the role
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 Medical Coders / Senior Medical Coders 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 added advantage.
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