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IPDRG Coder, QA - Medical Coder

Shine.com

Shine.com
Job Type   /   Job Level
Full-time   /   Others/Any
Company Location
India
Key Responsibilities

  • Review inpatient medical records including discharge summaries, operative reports, lab reports, and physician notes
  • Assign accurate ICD-10-CM (diagnosis) and ICD-10-PCS (procedure) codes
  • Perform DRG (Diagnosis Related Group) assignment and validation
  • Ensure coding complies with official guidelines such as CMS, AHIMA, and AHA standards
  • Identify missing or incomplete documentation and initiate physician queries when needed
  • Maintain high levels of coding accuracy, quality, and productivity
  • Work on complex cases including ICU stays, surgeries, and multi-specialty admissions
  • Meet daily productivity targets and quality benchmarks
  • Stay updated with coding changes, regulations, and payer-specific requirements
  • Collaborate with QA teams and auditors for coding reviews and feedback

Qualifications

  • Any Life Sciences graduate (BSc, BPharm, Nursing, etc.)
  • Certified coder preferred (e.g., CPC, CCS, CIC from AAPC or AHIMA)
  • 13 years of experience in inpatient medical coding (IPDRG preferred)

Interview Mode - Virtual

Work from Office Only

Immediate Joiners Preferred

Proper Relieving Mandatory

This job is provided by Shine.com
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