Inpatient Medical Coder (ICD-10 / DRG)
Ensemble Health Partners
Location: Hyderabad | Bangalore | Chennai | Pune | Mumbai | Remote
About Ensemble Health Partners
Ensemble Health Partners is a leading healthcare revenue cycle management organization supporting hundreds of hospitals and healthcare systems across the United States. Through its India Global Capability Center, Ensemble delivers high-quality coding, billing, revenue cycle, and healthcare operations services focused on compliance, accuracy, efficiency, and exceptional client outcomes.
We are seeking experienced Inpatient Medical Coders with strong ICD-10 and DRG expertise to support complex inpatient coding operations for leading U.S. healthcare providers.
Role Overview
As an Inpatient Medical Coder, you will review clinical documentation, assign accurate diagnosis and procedure codes, determine DRG classifications, and ensure compliance with coding guidelines, payer requirements, and quality standards.
This role offers the opportunity to work on complex inpatient cases while collaborating with clinical documentation specialists and healthcare stakeholders in a structured, quality-focused environment.
Key Responsibilities
Inpatient Medical Coding
- Review inpatient medical records and assign accurate ICD-10-CM, ICD-10-PCS, and CPT codes.
- Determine appropriate MS-DRG and APR-DRG assignments based on clinical documentation.
- Assign POA indicators and verify discharge disposition information.
- Ensure coding accuracy while adhering to official coding guidelines and payer requirements.
Revenue Cycle & Claims Support
- Work on DNFB accounts, failed claims, stop bills, coding edits, and reimbursement-related coding activities.
- Support DRG validation and denial management processes.
- Ensure coding supports clean claims submission and billing readiness.
- Maintain productivity, turnaround time, and quality metrics.
Documentation Improvement
- Collaborate with Clinical Documentation Improvement (CDI) teams and healthcare providers.
- Identify documentation gaps and coding opportunities.
- Support accurate clinical representation through appropriate code assignment.
- Participate in coding clarification and documentation-improvement initiatives.
Compliance & Quality
- Stay current with CMS regulations, coding updates, payer requirements, NCD/LCD guidelines, HAC regulations, and CCI edits.
- Maintain audit-ready coding quality and compliance standards.
- Participate in internal quality reviews, audits, and education programs.
- Ensure adherence to healthcare compliance and coding best practices.
Coding Tools & Systems
- Utilize coding and abstracting platforms such as 3M 360, CAC, CDIS, CRS, and similar tools.
- Work within EHR/EMR systems including Epic, Cerner, Athena, or equivalent platforms.
- Maintain accurate coding documentation and case records.
- Leverage technology and coding resources to improve coding efficiency and accuracy.
Ideal Candidate Profile
- 3–6 years of inpatient medical coding experience.
- Strong expertise in ICD-10-CM, ICD-10-PCS, CPT coding, and DRG assignment.
- CPC (AAPC) or CCS (AHIMA) certification is mandatory.
- Strong understanding of coding compliance, reimbursement methodologies, and payer regulations.
- Experience with DRG/APR-DRG assignment, denials, appeals, and coding quality standards.
- Familiarity with Epic, Cerner, Athena, or similar EHR/EMR platforms.
- Experience using 3M 360, CAC, CDIS, CRS, or related coding tools.
- Excellent attention to detail, analytical thinking, and time-management skills.
- Strong communication and collaboration abilities.
Preferred Qualifications
- Nursing, Pharmacy, Life Sciences, or Healthcare-related educational background.
- Experience supporting U.S. healthcare providers, hospitals, or RCM organizations.
- Exposure to CDI programs, DRG validation, denial management, and audit processes.
- Additional healthcare coding certifications are advantageous.
What We Offer
- Opportunity to work with a leading healthcare revenue cycle management organization supporting major U.S. hospital systems.
- Exposure to complex inpatient coding, DRG assignment, compliance programs, and healthcare operations.
- Structured career growth within a high-quality healthcare services environment.
- Access to advanced coding technologies, healthcare systems, and industry best practices.
- Collaborative culture focused on quality, compliance, learning, and professional development.
Hiring Process
Flexiple Interview → Profile Review → Client Technical / Domain Discussion
Applications are being reviewed this week. Apply today to be included in the first round of interviews.
We are shortlisting candidates within 24–48 hours — apply now to be considered.
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