IPDRG Coder
Company: Med-Metrix
Location: Chennai (Perungudi), India
Department: Medical Coding – Inpatient DRG (IPDRG)
Job Type: Full-Time
JOB OVERVIEW
The IPDRG Coder is responsible for accurately reviewing inpatient medical records, assigning ICD-10-CM, ICD-10-PCS, and DRG codes, ensuring coding accuracy, regulatory compliance, and optimal reimbursement. The role involves clinical documentation review, coding validation, quality assurance, physician query management, and adherence to coding guidelines while supporting revenue cycle management (RCM) processes.
KEY RESPONSIBILITIES
Inpatient Medical Coding
Review inpatient medical records for coding accuracy.
Assign ICD-10-CM diagnosis codes.
Assign ICD-10-PCS procedure codes.
Determine accurate MS-DRG/APR-DRG classifications.
Ensure complete and compliant inpatient coding.
Clinical Documentation Review
Analyze physician documentation for code assignment.
Identify incomplete or conflicting documentation.
Raise physician queries for documentation clarification.
Validate clinical information before coding.
Ensure coding reflects the patient's clinical condition.
Coding Quality & Compliance
Ensure compliance with ICD-10-CM, ICD-10-PCS, and DRG guidelines.
Follow CMS, AHIMA, and AHA coding standards.
Maintain coding accuracy and productivity targets.
Participate in internal coding audits.
Implement coding quality improvements.
Revenue Cycle Management
Support accurate reimbursement through compliant coding.
Minimize coding-related claim denials.
Assist denial management and coding corrections.
Collaborate with Revenue Cycle Management teams.
Improve coding efficiency and turnaround time.
Documentation & Reporting
Maintain accurate coding records.
Document coding decisions and audit findings.
Support coding quality reports.
Ensure timely completion of assigned coding workloads.
Maintain confidentiality of patient health information.
Collaboration
Work closely with physicians and clinical documentation teams.
Coordinate with quality assurance and audit teams.
Support coding education initiatives.
Participate in process improvement activities.
Communicate coding updates and regulatory changes.
EDUCATIONAL QUALIFICATIONS
Required
Bachelor's Degree in:
Life Sciences
Pharmacy
Nursing
Allied Health Sciences
Medical Sciences
Or a related healthcare discipline
Certification (Mandatory)
Certified Coding Specialist (CCS)
EXPERIENCE REQUIREMENTS
Required
Minimum 2–3 years of experience in:
Inpatient Medical Coding
IPDRG Coding
ICD-10-CM Coding
ICD-10-PCS Coding
Revenue Cycle Management (RCM)
Preferred
Experience in US Healthcare coding.
Knowledge of MS-DRG/APR-DRG methodologies.
Experience in coding audits and quality assurance.
Familiarity with Electronic Health Records (EHR) and Encoder software.
Experience in denial analysis and documentation improvement.
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