IPDRG Coder

MicroSourcing; Philippines; On-site; PHP 420,000 - 640,000; Full time

Benefits offered by this job

Healthcare coverage day one

Dependent coverage

Paid time off with cash conversion

Group life insurance

Performance bonuses

Flexible work arrangements

Job summary

MicroSourcing, a leading offshore MSP in the Philippines, seeks a Medical Coder – Inpatient DRG (IPDRG) to analyze physician documentation in inpatient records, assign MS-DRG/APR DRG, POA, SOI and ROM indicators for accurate hospital reimbursement. You will work onsite at BGC, Taguig City, with day shift.

The role requires 2+ years inpatient DRG coding, CCS/CIC/CDIP certification, and strong knowledge of HIPAA policies.

Qualifications

• 2+ years inpatient DRG coding experience.
• Bachelor of Science in allied health.
• Active CCS/CIC/CDIP certification.
• Proficiency in POA, SOI, ROM indicators and HAC/PSI for accurate reimbursement.
• HIPAA compliance awareness.

Responsibilities

• Assign MS-DRG, APR DRG, POA, SOI and ROM indicators for inpatient records.
• Navigate EMR and encoder tools to determine diagnoses and procedures codes.
• Review documentation to support coding and potential denial prevention.
• Collaborate with HIM and PFS to resolve billing and denial issues.
• Maintain coding quality and adhere to regulatory guidelines.

Skills

English communication

HIPAA knowledge

Education

Bachelor of Science in Allied Health

Tools

Epic EMR

Cerner EMR

Meditech EMR

Job description

Position

Medical Coder – Inpatient DRG (IPDRG)

Location

BGC, Taguig City

Work Setup & Shift

Onsite | Day shift

Sign‑On Bonus

120,000

About the Client

Huron is a global professional services firm that collaborates with clients to put possibilities into practice by creating sound strategies, optimizing operations, accelerating digital transformation, and empowering businesses and their people to own their future.

Why Join MicroSourcing?

• Competitive Rewards: Enjoy above‑market compensation, healthcare coverage on day one, plus one or more dependents, paid time‑off with cash conversion, group life insurance, and performance bonuses.
• A Collaborative Spirit: Contribute to a positive and engaging work environment by participating in company‑sponsored events and activities.
• Work‑Life Harmony: Enjoy the balance between work and life that suits you with flexible work arrangements.
• Career Growth: Take advantage of opportunities for continuous learning and career advancement.
• Inclusive Teamwork: Be part of a team that celebrates diversity and fosters an inclusive culture.

Your Role

The Medical Coder‑Inpatient DRG (IPDRG) provides high‑level technical competency and subject matter expertise in analyzing physician/provider documentation in inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis‑Related Groups (MS‑DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for inpatient records. Identifies Hospital Acquired Conditions (HAC) and Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement.

Responsibilities

• Assign appropriate code(s) by utilizing coding guidelines established by CDC, ICD‑CM Official Coding Guidelines, CMS ICD‑PCS Official Guidelines, AHA Coding Clinic, AHIMA Standards of Ethical Coding, and Revenue Excellence/HM coding procedures and guidelines.
• Navigate the patient health record and other computer systems/sources to accurately determine diagnoses and procedures codes, MS‑DRGs, APR DRGs, and identify HACs and PSIs that could impact quality data and hospital reimbursement.
• Code inpatient health records using encoder software and consistently use online tools to support the coding process and reference to assign ICD codes, MS‑DRG, APR DRG, POA, SOI & ROM indicators.
• Review inpatient health record documentation to assess the presence of clinical evidence/indicators to support diagnosis code and MS‑DRG, APR DRG assignments to potentially decrease denials.
• Work on inpatient claim edits and may code consecutive/combined accounts to comply with the 72‑hour rule and other account combine scenarios.
• Adhere to the inpatient coding quality and productivity standards established by the organization.
• Safeguard patient health information in compliance with HIPAA standards.
• Demonstrate knowledge of current coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS), or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
• Utilize EMR communication tools to track missing documentation or inpatient queries that require follow‑up to facilitate coding in a timely fashion.
• Work with HIM and Patient Financial Services (PFS) teams, when needed, to help resolve billing, claims, denial, and appeals issues affecting reimbursement.
• Maintain CEUs as appropriate for coding credentials as required by credentialing associations.
• Maintain current knowledge of changes in inpatient coding and reimbursement guidelines and regulations, as well as new applications or settings for inpatient coding, e.g., Hospital at Home.
• Identify and report coding and/or EMR workflow issues to their supervisor.
• Exhibit awareness of health record documentation or other coding ethics concerns and notify appropriate leadership for assistance and resolution when appropriate.
• Maintain a working knowledge of applicable coding and reimbursement Federal, State, and local laws and regulations, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
• Perform abstracting of additional data elements.

Qualifications

• Coding experience: At least 2 years of inpatient DRG coding experience.
• Education: Bachelor of Science in the allied health field.
• Credential/Certification: Active Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC), or Certified Documentation Improvement Practitioner (CDIP).
• RCM knowledge: Extensive, comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding, and MS‑DRG, APR DRG assignment. Must be proficient in identifying POA, SOI, and ROM indicators for inpatient records as well as HACs and PSIs to ensure accurate hospital reimbursement. Familiarity with HIPAA regulations.
• Software knowledge: Proficiency with electronic medical records (EMR) such as Epic, Cerner, or Meditech.
• Excellent verbal and written English communication skills and customer service skills (CEFR level of at least B2 for both verbal and written).

Preferred Skills / Expertise

• Education: Master’s degree or credential in business, healthcare, or related field preferred.
• Licensure: Registered Nurse with an active PHRN or USRN license preferred.
• Software knowledge: Current experience utilizing encoding/grouping software and Computer Assisted Coding (CAC) is preferred. Encoder experience (3M/Solventum, Encoder Pro, Codify) preferred. Proficiency with the Microsoft Office suite (Excel, Word, PowerPoint, Outlook, SharePoint).
• RCM knowledge: Prior experience with US healthcare providers or payers.

Soft Skills

• Ability to pay close attention to details; strong follow‑up and follow‑through skills.
• Regularly makes complex decisions within the scope of the position, and is comfortable working independently.
• Requires the use of independent judgment, discretion and decision‑making abilities.
• Demonstrates teamwork and integrity in all work‑related activities.
• Ability to interact with internal and external customers in a professional manner.
• Strong analytical and critical thinking skills.
• Experience in a matrixed environment.
• Excellent English written and verbal communication skills.

About MicroSourcing

With over 9,000 professionals across 13 delivery centers, MicroSourcing is the pioneer and largest offshore provider of managed services in the Philippines.

Commitment to 100% YOU

MicroSourcing firmly believes that our company's strength lies in our people's diversity and talent. We are proud to foster an inclusive culture that embraces individuals of all races, genders, ethnicities, abilities, and backgrounds. We provide space for everyone, embracing different perspectives, and making room for opportunities for each individual to thrive.

Terms and Conditions

Terms & conditions apply.