Surgery/ IPDRG

Key Responsibilities:

Surgery Coding:

• Assign accurate ICD-10-CM and CPT codes for multi-specialty surgical procedures
• Apply modifiers, ensure correct sequencing, and adhere to NCCI edits
• Review operative reports and apply appropriate global periods and surgical packages
• Ensure coding is compliant with CMS, AHA Coding Clinic, and client policies

IPDRG Coding:

• Review inpatient medical records, assign ICD-10-CM & ICD-10-PCS codes
• Assign MS-DRGs or APR-DRGs using encoder tools
• Validate principal diagnosis, secondary conditions, POA indicators, and procedures
• Ensure documentation supports the assigned DRG and meets coding guidelines

Qualifications: