Medical Coding - IP

r1rcm; Dadri; On-site; INR 400,000 - 640,000; Full time

Benefits offered by this job

Competitive benefits package

Job summary

R1 RCM India is seeking experienced Medical Coders specialized in IP DRG coding to convert medical records into ICD-10-CM/PCS codes with accuracy. Candidates should hold AHIMA CCS or AAPC CIC and have strong anatomy and medical terminology knowledge.

The role requires independent work, excellent communication with stakeholders, and the ability to query physicians for clarification. Inpatient DRG experience and熟悉 3M/Optum is a plus. Learn more at r1rcm.com.

Qualifications

• 1 to 7+ years’ experience in IP DRG medical coding.
• Education – Any Graduate (preferable life science).
• AHIMA CCS or AAPC CIC certification – active at joining.
• Strong knowledge of anatomy, physiology, and medical terminology.
• Excellent written and verbal communication with clients and stakeholders.
• Ability to work independently and adapt to process changes.

Responsibilities

• Review inpatient records and assign ICD-10-CM/PCS codes accurately.
• Sequence codes based on documentation and clinical notes.
• Assign POA indicators correctly for each case.
• Apply DRGs/APGs/APRs for claims processing and denials.
• Query physicians for clarification when needed to improve coding accuracy.
• Monitor accounts and follow up with leaders as required.
• Leverage 3M/Optum/CAC/Meditech knowledge to optimize coding.

Skills

Inpatient DRG coding

ICD-10-CM knowledge

Medical terminology

Verbal & written communication

Independent worker

3M coding / Optum CAC

Education

AHIMA CCS or AAPC CIC certification

Any Graduate

Life science background preferred

Tools

3M coding

Optum CAC

Meditech

Abstracting software

Job description

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.

About the role

Review patient medical records following PHI, HIPPA and convert into medical coding code as per ICD-10-CM and PCS guidelines. Complete daily assign tasks within time with expected quality, on time communication to internal/external stakeholders and adhere to organization policies.

Job Description

We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hand on experience on Inpatient DRG (MS-DRG/APR-DRG) coding.

Responsibilities

• Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures.
• Assigned and sequenced codes accurately based on medical record documentation.
• Assigned POA indicators correctly.
• Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims
• Adhered to coding clinics and guidelines, and queried physicians for clarification as needed.
• Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed.
• Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software, Meditech etc. will be added advantage.

Requirements

• 1 to 7+ Years’ experience in IP DRG medical Coding
• Education – Any Graduate (preferable life Science Graduate)
• Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC) – Must be active during joining and verified.
• Strong knowledge of anatomy, physiology, and medical terminology
• Effective verbal and written communication skills (should have capability to reply to email properly to client and stakeholders)
• Able to work independently and willing to adapt and change as per business/process requirement.

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package.

To learn more, visit: r1rcm.com

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