JOB DESCRIPTION
In Patient – Coding
Job Title
ICD -10-PCS CODING
Job Type
Full-Time
Job Location
Bangalore
Hours of Operation
Day shifts
JOB SUMMARY
We are seeking an experienced, detail-oriented Inpatient ICD-10-PCS Coder to join our Health Information Management team. The successful candidate will accurately assign ICD-10-PCS procedure codes and ICD-10-CM diagnosis codes for inpatient hospital encounters, ensure correct MS-DRG/APR-DRG assignment, identify reportable conditions (HACs/PSIs), and support documentation improvement and revenue integrity initiatives
KEY RESPONSIBILITIES
- Review inpatient medical records (admission history, progress notes, operative reports, discharge summary, diagnostic reports) to identify reportable diagnoses, procedures, and clinical indicators.
- Assign accurate ICD-10-PCS procedure codes and ICD-10-CM diagnosis codes using Official Coding Guidelines, Coding Clinic guidance, UHDDS rules, and facility policies.
- Validate MS-DRG/APR-DRG assignment and sequence principal diagnosis and procedures correctly to reflect clinical care and support appropriate reimbursement.
- Identify Present on Admission (POA) indicators, hospital-acquired conditions (HACs), patient safety indicators (PSIs), CC/MCC capture, SOI/ROM drivers, and HCC opportunities; escalate issues per policy.
- Perform queries to providers (written/electronic or verbal per policy) when documentation is incomplete, conflicting, or insufficient to assign correct codes or determine POA/complication status.
- Meet individual and team productivity and accuracy targets; participate in quality assurance reviews and accept feedback to improve coding accuracy.
- Adhere to HIPAA standards, hospital policy, and federal billing regulations to reduce claim denials and audit risks
- Provides instruction and feedback to Inpatient Coders regarding proper coding / DRG assignment as necessary
- Maintain current knowledge of ICD-10-CM/PCS updates, Coding Clinic advisories, Medicare and state payer rules, and participate in continuing education.
REQUIRED SKILLS
- In-depth knowledge of ICD-10-PCS procedure structure, root operations, approaches, devices, and qualifiers.
- Accurate DRG/Group assignment and sequencing, understanding of policy impacts on reimbursement and quality metrics.
- Mandatory certification from either AAPC or AHIMA with CIC or CCS certification.
- Strong analytic and critical-thinking skills to resolve ambiguous documentation and complex clinical scenarios.
- Effective provider communication and query-writing skills following facility query policy and coding ethics.
- Attention to detail, time management, and ability to meet productivity and turnaround SLAs while preserving accuracy.
- Proficiency with hospital clinical documentation, operative reports, pathology, radiology, and laboratory reports.
- Familiarity with compliance and regulatory requirements, HIPAA, and ethical coding standards (AHIMA/AAPC).
QUALIFICATIONS & EXPERIENCE
- Active coding credential: CCS (AHIMA) or CIC (AAPC) with significant inpatient experience is mandatory
- Minimum 4–6 years of ICD-10-PCS procedure codes and MS-DRG validation
- Strong knowledge of anatomy, physiology, pharmacology, and medical terminology relevant to inpatient care (surgery, cardiology, orthopedics, neurosurgery, OB/GYN, ICU/critical care).
KEY PERFORMANCE INDICATORS (KPIs).
- Coding Accuracy rate
- Specificity capture rate
- DRG Assignment Accuracy
- Compliance Audit scores
- Turnaround time
- Query Rate
- Missed Query opportunity Rate
- Query compliance Rate
- Charts coded per day
- Documentation – Related Denial rate
Additional Details :
Location : Embassy tech village, Kadubeesanahalli, Bellandur Bangalore
Shifts : 2:00 PM to 11:00 PM
Transport will be given
Contact person : Shivani@8073921503
All the best.
