Medical Coding : IP-DRG

R1 RCM; Hyderabad; On-site; INR 600,000 - 1,200,000; Full time

Job summary

R1RCM Hyderabad seeks experienced Medical Coders / Senior Medical Coders with IP DRG coding experience. Coders will convert patient records to ICD-10-CM/PCS, ensure POA accuracy, and adhere to guidelines. Certifications (CIC/CCS) preferred and active at joining.

We value knowledge of anatomy and medical terminology, strong communication, and ability to work with CAC and coding software like 3M, Optum, Meditech. Join a global team supporting healthcare providers.

Qualifications

• IP DRG inpatient coding experience is required.
• AHIMA CCS or AAPC CIC certification preferred and must be active on joining.
• Strong knowledge of anatomy, physiology, and medical terminology.

Responsibilities

• Review inpatient medical records and assign ICD-10-CM/PCS codes for diagnoses and procedures.
• Sequence codes accurately based on documentation and guidelines.
• Assign POA indicators correctly and understand DRG/APG requirements.

Skills

IP DRG medical Coding

Anatomy & Physiology knowledge

Effective communication

Education

Any Graduate or Postgraduate

Active AHIMA CCS or AAPC CIC

Tools

3M Coding

Optum CAC

Abstracting software

Meditech

Job description

About R1RCM

About R1RCM R1 is a leading provider of technology-driven solutions that help hospitals and health systems to manage their financial systems and improve patients’ experience. 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, Al, intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers, front-line associates, healthcare operators, and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more, a place where we're all together better. R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024, by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list, building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare, Top 100 Best Companies for Women by Avtar & Seramount, and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is ‘make healthcare work better for all’ by enabling efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 16,000+ strong in India with presence 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. 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.

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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.