In patient Coder

GetixHealth, LLC; Bengaluru; On-site; INR 700,000 - 1,100,000; Full time

Benefits offered by this job

Transport provided

Job summary

GetixHealth, LLC is seeking an experienced inpatient ICD-10-PCS coder to join our Health Information Management team. The successful candidate will assign ICD-10-PCS procedure codes and ICD-10-CM diagnosis codes for inpatient encounters, ensure correct MS-DRG/APR-DRG assignment, identify reportable conditions, and support documentation improvement and revenue integrity initiatives.

Candidates should hold CIC/CCS certification and have 4–6 years of inpatient coding experience, with strong

Qualifications

• In-depth knowledge of ICD-10-PCS structure, root operations, approaches, devices, and qualifiers.
• Accurate DRG/Group assignment and sequencing; policy impacts on reimbursement.
• Mandatory certification from AHIMA or AAPC (CIC/CCS).
• Strong analytic and critical-thinking skills to resolve complex cases.
• Effective provider communication and query-writing per policy.
• Attention to detail, time management, and meeting SLAs.

Responsibilities

• Review inpatient records to identify reportable diagnoses and procedures.
• Assign ICD-10-PCS and ICD-10-CM codes per official guidelines.
• Validate MS-DRG/APR-DRG assignment and correct sequencing.
• Identify POA, HACs, PSIs, CC/MCC, SOI/ROM drivers; escalate as needed.
• Query providers when documentation is incomplete or conflicting.
• Meet productivity and accuracy targets; participate in QA processes.
• Adhere to HIPAA and billing regulations to reduce denials.
• Provide guidance to inpatient coders on DRG assignment.
• Maintain knowledge of ICD updates and payer rules; pursue continuing education.

Skills

ICD-10-PCS knowledge

DRG assignment/sequencing

Query writing/communication

Attention to detail

Time management

Documentation proficiency

HIPAA/compliance knowledge

CIC/CCS certification

Education

CCS (AHIMA) or CIC (AAPC) certification

Job description

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; accelerate 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).
• 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; Location: Embassy tech village, Kadubeesanahalli, Bellandur Bangalore; Shifts: 2:00 PM to 11:00 PM; Transport will be given

All the best.