IP-DRG - Coders & QA

Key Responsibilities:

IP-DRG Coder

• Review inpatient clinical documentation and assign accurate ICD-10-CM/PCS codes.
• Assign appropriate MS-DRGs/APR-DRGs based on documented diagnoses and procedures.
• Ensure 100% adherence to coding guidelines, payer-specific rules, and DRG logic.
• Collaborate with documentation teams to resolve ambiguities and initiate physician queries if needed.
• Meet daily productivity and accuracy benchmarks (95%+ accuracy).

IP-DRG QA (Quality Analyst)

• Audit inpatient coded charts for accuracy and DRG compliance.
• Provide detailed feedback and corrective training to coders based on audit findings.
• Monitor coding trends and ensure alignment with CMS, AHA, and UHDDS guidelines.
• Mainta...