Medical coder

About Company:

our client is a global professional services firm that offers advisory, technology, and managed services to commercial and government clients, focusing on areas like healthcare, financial services, energy, and national security to help with complex challenges like digital transformation, risk management, and operational efficiency. They provide expertise in consulting, outsourcing, and technology-driven solutions, operating as an AI-led firm with a strong public and private sector focus. 

An Ideal Candidate:

our ideal candidate is a IPDRG Medical coder specialist with a minimum of 2 years of experience in Medical Coding, with hands-on experience specifically in Inpatient DRG Coding. Additionally, candidates must be certified coders, holding either a CCS/CIC or CPC certification.

Key Competencies:

Key Responsibilities:

• Coding & Sequencing: Reviewing patient medical records to assign accurate ICD-10-CM (principal/secondary diagnosis) and PCS codes.
• DRG Assignment: Assigning and sequencing MS-DRG/APR-DRG codes to optimize reimbursement.
• Compliance: Ensuring adherence to HIPAA, PHI (Protected Health Information) guidelines, and official coding guidelines.
• Documentation: Reviewing clinical documentation for completeness and querying physicians for clarification when necessary.
• Quality & Productivity: Maintaining high accuracy rates (typically >95%) and meeting daily/monthly productivity benchmarks.