Medical Coder – Inpatient DRG (IPDRG)

PM Consulting; Philippines; On-site; PHP 300,000 - 540,000; Full time

Job summary

PM Consulting seeks an experienced Medical Coder – Inpatient DRG (IPDRG) to review inpatient records and assign accurate MS-DRGs/APR DRGs. You will work with physicians and CDS to query missing documentation and ensure compliant, precise code assignment.

The role requires 2+ years of Inpatient DRG coding, CCS or CIC certification (CDIP acceptable), and a BS Allied Health degree (RN/USRN/PHRN, Master’s preferred). Proficiency in ICD-10-CM/PCS and EMR systems (Epic/Cerner/Meditech) is essential.

Qualifications

• 2+ years Inpatient DRG coding experience.
• Certification as CCS or CIC (CDIP acceptable).
• BS Allied Health degree; RN/USRN/PHRN preferred, Master’s.
• Proficient knowledge of ICD-10-CM/PCS, MS-DRG/APR DRG, SOI/ROM, HAC/PSI.
• Experience with Epic/Cerner/Meditech and encoder tools.

Responsibilities

• Review inpatient records for clinical validation and accurate coding.
• Collaborate with physicians and CDS on compliant queries.
• Resolve documentation gaps to improve accuracy and reimbursement.
• Support denial prevention and revenue integrity with HIM and billing teams.
• Maintain HIPAA compliance and ethical coding practices.

Skills

Strong analytical thinking

Attention to detail

Independent decision-making

Excellent English communication (B2+)

Education

BS Allied Health (preferred: RN/USRN/PHRN, Master’s)

Tools

Epic

Cerner

Meditech

encoder tools (3M, Encoder Pro, Codify)

Job description

About the job Medical Coder – Inpatient DRG (IPDRG)

Medical Coder – Inpatient DRG (IPDRG)

Medical Coder – Inpatient DRG (IPDRG) – Job Summary

The Medical Coder – Inpatient DRG (IPDRG) is responsible for accurately reviewing and coding inpatient medical records to determine principal and secondary diagnoses and procedures. The role ensures correct assignment of MS-DRGs, APR DRGs, POA status, Severity of Illness (SOI), Risk of Mortality (ROM), and identification of HACs and PSIs to support accurate hospital reimbursement and quality reporting.

The position requires strong expertise in ICD-10-CM/PCS coding guidelines, AHA Coding Clinic references, and CMS regulations. The coder analyzes clinical documentation using EMR systems (e.g., Epic, Cerner, Meditech) and encoder tools to ensure compliant and precise code assignment.

Key responsibilities include reviewing inpatient records for clinical validation, working with physicians and Clinical Documentation Specialists (CDS) through compliant queries, resolving documentation gaps, and supporting denial prevention and revenue integrity. The role also collaborates with HIM and billing teams to resolve coding-related reimbursement and claims issues.

The coder must consistently meet productivity and quality standards while maintaining HIPAA compliance, ethical coding practices, and adherence to federal and organizational guidelines.

Key Requirements Summary

• Experience: 2+ years Inpatient DRG coding
• Certification: CCS or CIC (CDIP acceptable)
• Education: BS Allied Health (preferred: RN/USRN/PHRN, Master’s)
• Knowledge: ICD-10-CM/PCS, MS-DRG/APR DRG, SOI/ROM, HAC/PSI
• Tools: Epic, Cerner, Meditech; encoder tools (3M, Encoder Pro, Codify preferred)
• Skills: Strong analytical thinking, attention to detail, independent decision-making, and excellent English communication (B2+)