Medical Coding - IP

R1 RCM; Dadri; On-site; INR 600,000 - 900,000; Full time

Job summary

R1 RCM India is seeking an experienced IP DRG Medical Coder to review inpatient records, assign ICD-10-CM and PCS codes, and ensure accurate DRG processing. The role requires strong anatomy knowledge and excellent communication with internal and external stakeholders.

You will work within a healthcare revenue management environment, adhering to HIPAA/PHI guidelines and organization policies, with opportunities to grow in a fast-paced, collaborative team across India.

Qualifications

• Successful completion of AHIMA CCS or AAPC CIC certification (active at joining).
• Experience in IP DRG medical coding with knowledge of ICD-10-CM/PCS guidelines.
• Strong anatomy, physiology, and medical terminology knowledge.
• Excellent written and verbal communication with stakeholders.

Responsibilities

• Review inpatient records and assign ICD-10-CM (PDx/SDx) and PCS codes.
• Sequence codes accurately based on documentation.
• Assign POA indicators correctly.
• Apply medical necessity, DRGs, APGs, and APRs in claim processing.
• Query physicians for clarification when needed.
• Monitor account status and follow up with leaders as required.
• Knowledge of 3M coding, Optum, CAC, and Meditech is a plus.

Skills

IP DRG medical coding

Medical terminology

Verbal and written communication

Independent work

Education

Any Graduate (prefer Life Science)

AHIMA CCS

AAPC CIC

Tools

3M coding

Optum

CAC

Meditech

Abstracting software

Job description

Noida, India

Full time

R260000000008

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.

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

Visit us on Facebook (https://www.facebook.com/R1RCMIndia)

R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com .