IPDRG Coder

Job Description

Key Responsibilities:
• IPDRG Coding: Accurately assign IPDRG (Inpatient Diagnosis Related Group) codes based on patient records, diagnosis, procedures, and medical history.
• CCS Coding: Apply Certified Coding Specialist (CCS) principles to assign appropriate diagnosis and procedure codes for both inpatient and outpatient encounters.
• CPC Coding: Leverage Certified Professional Coder (CPC) knowledge to review and assign medical codes for outpatient visits, ensuring that they are compliant with payer requirements and national coding standards.
• Medical Record Review: Review clinical documents to extract essential information for coding and ensure documentation is complete, accurate, and consistent.
• Collaboration: Work closely with physicians, healthcare providers, and other departments to resolve coding issues and improve coding accuracy.
• Compliance and Quality Assurance: Ensure coding practices comply with federal regulations, payer guidelines, and the organizations internal coding policies.
• Maintain Confidentiality: Follow HIPAA guidelines and maintain patient confidentiality in all aspects of coding and data handling.
• Continuous Education: Stay updated with changes in coding standards, healthcare regulations, and reimbursement policies.
Qualifications:
• Experience:
  • 1-4 years of hands-on experience in IPDRG, CCS, and CPC coding.
  • 4 years of experience in medical coding (CPC certification required after 4 years).
• Certifications:
  • CCS (Certified Coding Specialist) certification.
  • CPC (Certified Professional Coder) certification.
• Skills:
  • In-depth knowledge of ICD-10-CM, CPT, HCPCS, and DRG coding systems.
  • Strong attention to detail with a commitment to accuracy.
  • Excellent communication skills for interacting with healthcare providers, payers, and team members.
  • Ability to interpret and apply medical terminology and diagnoses.
• Education:
  • High school diploma or equivalent (required).
  • Additional certifications or training in medical coding preferred.
Preferred Skills:
• Proficiency in coding software and Electronic Health Records (EHR) systems.
• Familiarity with medical billing processes and insurance protocols.
• Ability to work in a fast-paced environment and meet deadlines.

Keyskills :
cpcmedical codingccsmedical coder