IPDRG Coder / Qa Mumbai

ECLAT Health Solutions; Mumbai; On-site; INR 400,000 - 700,000; Full time

Job summary

ECLAT Health Solutions is seeking an experienced IPDRG Medical Coder to review inpatient records and assign accurate ICD-10-CM and ICD-10-PCS codes according to IPDRG guidelines. You will ensure correct DRG grouping for reimbursement, identify complications and comorbidities, and support audits and compliance while mentoring junior coders.

Strong knowledge of ICD-10 coding, IPDRG methodology, anatomy, and medical terminology is essential for success in this role.

Qualifications

• Inpatient coder with ICD-10 proficiency and IPDRG knowledge.
• IPDRG methodology understanding and accurate DRG assignment.
• Strong anatomy knowledge and medical terminology.
• Experience in inpatient coding and auditing IP DRG.
• Excellent communication and analytical abilities.
• Certified in AAPC/AHIMA: CPC, CIC, CCS, COC.

Responsibilities

• Review inpatient case sheets, discharge summaries, and clinical documentation.
• Assign ICD-10-CM and ICD-10-PCS codes.
• Ensure correct IPDRG grouping and reimbursement classification.
• Identify complications and comorbidities impacting DRG assignment.
• Maintain coding accuracy per quality benchmarks (95%+).
• Support audits and compliance requirements.
• Mentor and train other coders and Clinical Documentation Specialists.

Skills

ICD-10 coding

IPDRG methodology

Anatomy & medical terminology

Inpatient coding

Communication skills

Analytical skills

Auditing IP DRG

Education

CPC, CIC, CCS, COC certified

Tools

ICD-10-CM coding

ICD-10-PCS coding

IPPS/IPDRG knowledge

Job description

We are looking for an experienced IPDRG Medical Coder to review inpatient medical records and assign accurate diagnosis and procedure codes as per IPDRG guidelines. The candidate will be responsible for ensuring proper DRG assignment to support accurate billing and reimbursement.

Role & Responsibilities:

Review inpatient case sheets, discharge summaries, and clinical documentation

Assign accurate ICD-10 diagnosis and procedure codes

Ensure correct IPDRG grouping and reimbursement classification

Identify complications and comorbidities impacting DRG assignment

Maintain coding accuracy as per quality benchmarks (95%+)

Support audit and compliance requirements

Preferred candidate profile:

Strong knowledge of ICD-10 coding

Good understanding of IPDRG methodology

Knowledge of anatomy & medical terminology

Experience in inpatient coding

Good communication and analytical skills

IPDRG QA

Required Skills:

We are hiring an experienced Inpatient DRG Coder to accurately assign Diagnosis-Related Group (DRG) codes to hospital inpatient records. Analyze clinical documentation, apply ICD-10-CM and ICD-10-PCS codes, and ensure compliance with coding guidelines.

The DRG Auditor is responsible for performing an in-depth review of select inpatient medical records to ensure that the assigned codes and DRG are supported by clinical documentation and all diagnoses and procedures are coded with the required specificity and the discharge disposition and the POA are correct Knowledge of IPPS methodology is required. Responsible for mentoring and training other coders. Provide ongoing feedback and education to coding staff and Clinical Documentation Specialists.

Preferred candidate profile

Skills and abilities:

Auditing experience on IP DRG.

Strong knowledge of ICD-10 coding

Good understanding of IPDRG methodology

Knowledge of anatomy & medical terminology

Experience in inpatient coding

Good communication and analytical skills

Eligibility Criteria:

Certified in AAPC/AHIMA: CPC, CIC, CCS, COC