Medical Coders || ENM, Surgery, IPDRG

Key Responsibilities :

General Responsibilities :

• Analyze and review medical records for completeness and assign accurate CPT , ICD-10-CM , HCPCS , and DRG codes.
• Ensure adherence to coding guidelines as per AAPC, AHIMA, CMS, and payer-specific requirements.
• Maintain coding accuracy and productivity standards.
• Collaborate with QA and audit teams for continuous quality improvement.
• Stay updated with current coding updates, payer policies, and CMS regulations.
• Ensure HIPAA compliance and maintain confidentiality.

Specialty-wise Responsibilities :

E / M (Evaluation & Management) Coding :

Surgery Coding :

IPDRG (Inpatient DRG) Coding :

Requirements :

Experience :

Tools : Proficiency in EMR / EHR systems like Epic, Cerner, or Meditech, and coding software such as 3M, TruCode, or Optum Encoder.

Performance Metrics (KPI) :

Skills Required

Coding, Qa, Aapc, Cms