Medical Coding - IP

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.

Job Description

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

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

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