Ipdrg Medical Coder

Job Summary:

The IP DRG Coder is responsible for the accurate and timely assignment of ICD-10-CM, ICD-10-PCS, and DRG codes for inpatient medical records. The coder ensures documentation supports the assigned codes and aligns with CMS and other regulatory guidelines. The role contributes directly to revenue cycle performance, clinical data accuracy, and compliance with federal healthcare regulations.

Key Responsibilities:

• Review inpatient medical records to assign ICD-10-CM, ICD-10-PCS, and MS-DRG/AP-DRG codes.
• Ensure codes accurately reflect the patient's diagnosis, procedures, severity of illness (SOI), and risk of mortality (ROM).
• Validate and ensure appropriate DRG assignment based on coding guidelines and documentation.
• Work with Clinical Documentation Improvement (CDI) teams to clarify documentation when needed.
• Maintain compliance with official coding guidelines, CMS regulations, and payer requirements.
• Meet productivity and accuracy benchmarks set by the organization.
• Stay updated on coding changes, CMS guidelines, and payer policies.
• Participate in internal and external audits as required.
• Ensure data confidentiality and compliance with HIPAA regulations.

Qualifications:

Education:

• Associate or Bachelors degree in Health Information Management, Nursing, or a related field (preferred)

Certifications:

• CIC, CCS (Certified Coding Specialist) – AHIMA (Required)

Experience:

• Minimum 2–5 years of inpatient coding experience in US healthcare settings.
• Strong knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG/AP-DRG coding.
• Experience using EMR/EHR and coding software (e.g., 3M, Epic, Cerner, TruCode).