Senior Medical Coder – IP DRG
Company: Guidehouse
Job ID: 35133
Location: India
Job Type: Full-Time
Job Family: Coding IP (India)
Travel Required: None
Experience Required
Minimum 2+ years of experience in Inpatient (IP) DRG coding within healthcare, medical coding, or revenue cycle management environments.
Education
Bachelor’s Degree or any Graduate qualification from a recognized institution.
Certifications Required
Mandatory certification such as CIC (Certified Inpatient Coder), CCS (Certified Coding Specialist), or CPC (Certified Professional Coder).
Job Overview
Guidehouse is seeking a detail-oriented Senior Medical Coder specializing in Inpatient Diagnosis Related Group (IP DRG) coding. The role involves reviewing clinical documentation, assigning accurate ICD-10 codes, and determining appropriate DRGs while ensuring compliance with regulatory and reimbursement requirements. The ideal candidate will have expertise in ICD-10-CM and ICD-10-PCS coding systems and experience assigning both MS-DRG and APR-DRG classifications.
Key Responsibilities
Review inpatient patient records and clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes.
Assign appropriate MS-DRG and APR-DRG classifications according to regulatory and payer guidelines.
Ensure compliance with coding standards, reimbursement regulations, and healthcare documentation requirements.
Collaborate with physicians and clinical staff to clarify incomplete or unclear documentation.
Maintain a high level of accuracy and attention to detail when reviewing patient records.
Participate in quality assurance activities and coding audits to maintain coding standards.
Work independently while meeting project timelines and productivity targets.
Technical Skills
Strong knowledge of ICD-10-CM and ICD-10-PCS coding systems.
Expertise in assigning MS-DRG and APR-DRG classifications.
Familiarity with Electronic Health Record (EHR) systems.
Experience using coding software or encoder tools such as 3M, TruCode, or Optum.
Preferred Skills
Proficiency in Microsoft Office tools, particularly Excel.
Familiarity with EMR systems such as EPIC, Cerner, or similar platforms.
Strong analytical, problem-solving, and documentation review skills.
Work Responsibilities
Day-to-day responsibilities include reviewing inpatient patient records, assigning appropriate DRG codes, collaborating with clinical staff to obtain accurate documentation, ensuring compliance with coding regulations, and participating in quality improvement initiatives within the coding process.
What Guidehouse Offers
Guidehouse provides a competitive compensation structure and a comprehensive benefits package designed to support employee well-being and professional growth. The organization promotes a collaborative and inclusive work environment that encourages career development and continuous learning.
Equal Opportunity Employer
Guidehouse is an equal opportunity employer and provides employment opportunities to all qualified candidates regardless of race, gender, religion, disability, veteran status, or any other protected characteristic under applicable law.
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