hiring Ipdrg QA or In-patient

2 weeks ago


Manila, National Capital Region, Philippines R1 RCM Full time

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.

Were currently hiring IP DRG Quality analysts.

Role & responsibilities

IP DRG QA:

  • Reviewed inpatient medical records and assigned accurate ICD-10-CM and PCS codes for diagnoses and procedures.
  • Assigned and sequenced codes accurately based on medical record documentation.
  • Assigned POA indicators correctly.
  • Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims
  • Adhered to coding clinics and guidelines, and queried physicians for clarification as needed.
  • Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed.
  • Knowledge of 3M coding and abstracting software, PCI and Meditech systems

Requirements

1 to 9+ Years experience in Medical Coding

  • Education Any Graduate
  • Successful completion of a certification program from AHIMA or AAPC.
  • Strong knowledge of anatomy, physiology, and medical terminology
  • Familiarity with ICD-10 CM & PCS codes and procedures
  • Solid oral and written communication skills
  • Able to work independently.

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