Job Title: Clinical Documentation Improvement (CDI) Coder
Job Summary:
The CDI Coder is responsible for reviewing patient medical records to ensure accurate,
complete, and compliant clinical documentation that supports appropriate coding, billing,
and quality outcomes.
Key Responsibilities:
- Review inpatient and outpatient medical records for accuracy and completeness
- Ensure clinical documentation supports diagnoses, procedures, and treatments provided
- Identify documentation gaps and initiate physician queries when required
- Assign appropriate ICD-10-CM/PCS and/or CPT codes
- Collaborate with physicians, coders, and quality teams to enhance documentation standards
- Ensure compliance with coding guidelines and regulatory requirements
- Perform DRG validation and ensure accurate reimbursement mapping
- Maintain defined productivity and quality benchmarks
- Participate in audits and implement feedback for continuous improvement
Required Skills:
- Strong knowledge of medical terminology, anatomy, and physiology
- Proficiency in ICD-10-CM, ICD-10-PCS, and CPT coding systems
- Understanding of DRG and reimbursement methodologies
- Good analytical and problem-solving abilities
- Effective communication skills for physician interaction and query management
- High level of attention to detail
Qualifications:
- Certification preferred: CPC / CCS
- Bachelor’s degree in Life Sciences, Nursing, Pharmacy, or a related field
Work Details:
- Location: Chennai
- Shift: Flexible (Day / Night)
- Notice Period: Immediate joiners
- Interview Mode: Direct & Virtual
Experience:
- Minimum 2+ years of experience in CDI or medical coding
- Experience in inpatient coding is an added advantage
Benefits:
Work Location: In person
