Hiring || IPDRG - Coder || Innova Solutions

Roles and Responsibilities:

• Review, analyze and interpret the entire electronic medical record for the current admission to identify all diagnoses and procedures documented during the admission.
• Determine and assign the principal and significant secondary ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes.
• Identify cases with clinical indicators that may require provider documentation clarification and/or specificity in order to accurately assign codes; collaborate with CDIS team as part of the clinical documentation validation and physician query workflows.
• Analyze code assignment and sequence to assure proper DRG assignments; sequence codes in compliance with ICD-10 Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS) and other regulatory requirements to accurately assign the DRG.
• Analyze the medical record documentation for complications and comorbidities
• Analyze medical record documentation for optimum severity of illness and risk of mortality scores
• Confirm Admission-Discharge-Transfer (ADT) information and correct when necessary
• Suggest and assist with workflow process improvements as appropriate. Participate in coding quality and productivity processes.
• Strictly follow HIPPA regulations to maintain patient data confidential.

Shift : 8 AM IST - 5 PM IST (Both side cab)