In Patient Coder

GetixHealth; Bengaluru; On-site; INR 600,000 - 900,000; Full time

Benefits offered by this job

Transport provided

Job summary

GetixHealth seeks an experienced Inpatient ICD-10-PCS Coder to join our Health Information Management team in Bangalore. You will assign ICD-10-PCS procedures and ICD-10-CM diagnoses for inpatient encounters, ensure correct MS-DRG/APR-DRG, and support documentation improvement and revenue integrity initiatives.

The role requires 4–6 years inpatient coding experience, an AHIMA or AAPC credential, and strong attention to detail to maintain high accuracy and regulatory compliance.

Qualifications

• Active coding credential required (CCS or CIC).
• 4–6 years inpatient ICD-10-PCS and MS-DRG validation experience.
• Strong knowledge of anatomy, physiology, pharmacology and medical terminology.

Responsibilities

• Review inpatient records to identify diagnoses and procedures.
• Assign ICD-10-PCS and ICD-10-CM codes per guidelines.
• Validate MS-DRG/APR-DRG assignments and sequencing.
• Identify POA, HACs, PSIs, and HCC opportunities; escalate issues.
• Query providers when documentation is insufficient for proper coding.

Skills

ICD-10-PCS knowledge

DRG assignment

Query writing

HIPAA compliance

Attention to detail

Education

CCS (AHIMA) or CIC (AAPC)

Tools

EHR systems

Job description

Job Description:

JOB DESCRIPTION

In Patient – Coding

Job Title: ICD -10-PCS CODING

Job Type: Full-Time

Job Location: Bangalore

Hours of Operation: Day shifts

JOB SUMMARY

We are seeking an experienced, detail-oriented Inpatient ICD-10-PCS Coder to join our Health Information Management team. The successful candidate will accurately assign ICD-10-PCS procedure codes and ICD-10-CM diagnosis codes for inpatient hospital encounters, ensure correct MS-DRG/APR-DRG assignment, identify reportable conditions (HACs/PSIs), and support documentation improvement and revenue integrity initiatives

KEY RESPONSIBILITIES

• Review inpatient medical records (admission history, progress notes, operative reports, discharge summary, diagnostic reports) to identify reportable diagnoses, procedures, and clinical indicators.
• Assign accurate ICD-10-PCS procedure codes and ICD-10-CM diagnosis codes using Official Coding Guidelines, Coding Clinic guidance, UHDDS rules, and facility policies.
• Validate MS-DRG/APR-DRG assignment and sequence principal diagnosis and procedures correctly to reflect clinical care and support appropriate reimbursement.
• Identify Present on Admission (POA) indicators, hospital-acquired conditions (HACs), patient safety indicators (PSIs), CC/MCC capture, SOI/ROM drivers, and HCC opportunities; elevate issues per policy.
• Perform queries to providers (written/electronic or verbal per policy) when documentation is incomplete, conflicting, or insufficient to assign correct codes or determine POA/complication status.
• Meet individual and team productivity and accuracy targets; participate in quality assurance reviews and accept feedback to improve coding accuracy.
• Adhere to HIPAA standards, hospital policy, and federal billing regulations to reduce claim denials and audit risks
• Provides instruction and feedback to Inpatient Coders regarding proper coding / DRG assignment as necessary
• Maintain current knowledge of ICD-10-CM/PCS updates, Coding Clinic advisories, Medicare and state payer rules, and participate in continuing education.

REQUIRED SKILLS

• In-depth knowledge of ICD-10-PCS procedure structure, root operations, approaches, devices, and qualifiers.
• Accurate DRG/Group assignment and sequencing, understanding of policy impacts on reimbursement and quality metrics.
• Mandatory certification from either AAPC or AHIMA with CIC or CCS certification.
• Strong analytic and critical-thinking skills to resolve ambiguous documentation and complex clinical scenarios.
• Effective provider communication and query-writing skills following facility query policy and coding ethics.
• Attention to detail, time management, and ability to meet productivity and turnaround SLAs while preserving accuracy.
• Proficiency with hospital clinical documentation, operative reports, pathology, radiology, and laboratory reports.
• Familiarity with compliance and regulatory requirements, HIPAA, and ethical coding standards (AHIMA/AAPC).

QUALIFICATIONS & EXPERIENCE

• Active coding credential: CCS (AHIMA) or CIC (AAPC) with significant inpatient experience is mandatory
• Minimum 4–6 years of ICD-10-PCS procedure codes and MS-DRG validation
• Strong knowledge of anatomy, physiology, pharmacology, and medical terminology relevant to inpatient care (surgery, cardiology, orthopedics, neurosurgery, OB/GYN, ICU/critical care).

KEY PERFORMANCE INDICATORS (KPIs).

• Coding Accuracy rate
• Specificity capture rate
• DRG Assignment Accuracy
• Compliance Audit scores
• Turnaround time
• Query Rate
• Missed Query opportunity Rate
• Query compliance Rate
• Charts coded per day
• Documentation – Related Denial rate
  Additional Details :
  Location : Embassy tech village, Kadubeesanahalli, Bellandur Bangalore
  Shifts : 2:00 PM to 11:00 PM
  Transport will be given
  Contact person : Shivani@8073921503
  All the best.