Inpatient Prospective Diagnosis Related Group (IPDRG)

This role is for one of the Weekday's clients

Salary range: Rs 400000 - Rs 1800000 (ie INR 4-18 LPA)

Min Experience: 2 years

Location: NOIDA, Chennai, Hyderabad

JobType: full-time

The Inpatient Prospective Diagnosis Related Group (IPDRG) Medical Coder plays a critical role in ensuring accurate clinical documentation, coding integrity, and compliant reimbursement for inpatient hospital services. This full-time position is ideal for a detail-oriented medical coding professional with hands-on experience in IPDRG methodologies and inpatient coding standards. Based in Noida, Chennai, or Hyderabad, the role supports healthcare revenue cycle operations by translating complex clinical documentation into precise diagnostic and procedural codes that align with regulatory guidelines and payer requirements.

As an IPDRG Medical Coder, you will work closely with clinical documentation, billing, and quality teams to ensure accuracy, compliance, and optimization of inpatient claims. The role demands strong analytical skills, deep knowledge of ICD coding systems, and the ability to interpret medical records across multiple specialties. Your work directly impacts reimbursement accuracy, audit readiness, and overall financial health of healthcare organizations.

Key Responsibilities

• Review inpatient medical records to accurately assign ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes in accordance with IPDRG guidelines
• Ensure correct assignment of Diagnosis Related Groups (DRGs) based on documented clinical conditions, procedures, complications, and comorbidities
• Analyze physician documentation to identify gaps, inconsistencies, or ambiguities that may impact coding accuracy or reimbursement
• Collaborate with clinical documentation improvement (CDI) teams to query providers and improve documentation quality
• Maintain compliance with coding regulations, payer policies, and official coding guidelines
• Ensure timely completion of coding assignments while meeting productivity and accuracy benchmarks
• Support internal and external audits by providing coding justifications and responding to audit findings
• Identify opportunities for coding optimization while maintaining ethical and compliant coding practices
• Stay updated with changes in IPDRG regulations, ICD coding updates, and reimbursement policies
• Contribute to process improvement initiatives aimed at enhancing coding accuracy, turnaround time, and compliance

What Makes You a Great Fit

• Minimum of 2 years of hands-on experience in inpatient medical coding with a strong focus on IPDRG
• Solid understanding of ICD-10-CM, ICD-10-PCS, and DRG assignment methodologies
• Proven ability to interpret complex inpatient medical records across multiple clinical specialties
• Strong attention to detail with a commitment to high accuracy and compliance standards
• Familiarity with healthcare reimbursement systems, audit processes, and revenue cycle workflows
• Ability to work independently while managing multiple coding assignments efficiently
• Strong analytical and problem-solving skills with a quality-focused mindset
• Excellent written and verbal communication skills for documentation review and provider queries
• Ability to adapt to evolving coding guidelines and regulatory requirements
• Certification such as CCS, CPC, or equivalent is an added advantage