Medical Coding IP-DRG
Medical Coding IP-DRG
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Job Description
About R1RCM
R1 is a leading provider of technologydriven solutions that help hospitals and health systems to manage their financial systems and improve patients experience. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industrys most advanced technology platform encompassing sophisticated analytics Al intelligent automation and workflow orchestration. R1 is a place where we think boldly to create opportunities for everyone to innovate and grow. A place where we partner with purpose through transparency and inclusion. We are a global community of engineers frontline associates healthcare operators and RCM experts that work together to go beyond for all those we serve. Because we know that all this adds up to something more a place where were all together better.
R1 India is proud to be recognized amongst Top 25 Best Companies to Work For 2024 by the Great Place to Work Institute. This is our second consecutive recognition on this prestigious Best Workplaces list building on the Top 50 recognition we achieved in 2023. Our focus on employee wellbeing and inclusion and diversity is demonstrated through prestigious recognitions with R1 India being ranked amongst Best in Healthcare Top 100 Best Companies for Women by Avtar & Seramount and amongst Top 10 Best Workplaces in Health & Wellness. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare work better for all by enabling efficiency for healthcare systems hospitals and physician practices. With over 30000 employees globally we are about 16000 strong in India with presence 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 ICD10CM and PCS guidelines. Complete daily assign tasks within time with expected quality on time communication to internal/external stakeholders and adhere to organization policies.
We are looking to hire an experienced Medical Coders / Senior Medical Coders with coding certifications (CIC or CCS) hands on experience on Inpatient DRG (MSDRG/APRDRG) coding.
Eligibility Criteria
- 1 to 7 Years of work experience in IP DRG medical Coding
- Education Any Graduate Postgraduate
- 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.
Responsibilities
- Reviewed inpatient medical records and assigned accurate ICD10CM (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.
Working in an evolving healthcare setting we use our shared expertise to deliver innovative solutions. Our fastgrowing 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
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Employment Type
Full-Time
