Medical Coding - IP

r1rcm; Hyderabad; On-site; INR 300,000 - 600,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

R1 is seeking experienced Medical Coders to review inpatient records and convert them into ICD-10-CM and PCS codes per guidelines. Candidates should hold active AHIMA CCS or AAPC CIC certifications and have hands-on IP DRG (MS-DRG/APR-DRG) coding experience.

Minimum 1+ to 7+ years in IP DRG coding is required; strong knowledge of anatomy, physiology and medical terminology is essential. Excellent communication and the ability to work independently will be valued in our Hyderabad team.

Qualifications

• 1 to 7+ years of IP DRG medical coding experience
• Certification from AHIMA (CCS) or AAPC (CIC) must be active at joining
• Strong knowledge of anatomy, physiology and medical terminology
• Excellent verbal and written communication abilities
• Able to work independently and adapt to business/process changes

Responsibilities

• Review inpatient records and assign ICD-10-CM and PCS codes accurately
• Sequence codes based on documentation and clinical guidelines
• Assign POA indicators correctly
• Apply medical necessity, DRGs and APRs for claims processing
• Query physicians when needed for clarification
• Monitor account status and coordinate with leaders as required
• Leverage coding tools (3M, CAC, CAC software) effectively

Skills

Medical coding

ICD-10-CM coding

DRG coding

Communication skills

Attention to detail

Education

AHIMA CCS

AAPC CIC

Any Graduate

Postgraduate

Tools

3M Coding

Optum

CAC

Meditech

Abstracting software

Job description

About US:

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.

With over 30,000 employees globally and a robust presence in India, comprising over 17,000 employees across Delhi NCR, Hyderabad, Bangalore, and Chennai, we foster an inclusive culture where every team member feels valued and empowered. Our mission is to transform the healthcare industry by driving efficiency for healthcare systems, hospitals, and physician practices, continuously striving to make healthcare work better for everyone.

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.

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

Eligibility Criteria

• 1 to 7+ Years of work experience in IP DRG medical Coding
• Education – Any Graduate, Postgraduate
• 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.

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.

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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