Inpatient Hospital Coding Services
MedCodex delivers accurate inpatient hospital coding with a focus on principal diagnosis selection, DRG assignment, CC/MCC capture, and Present on Admission (POA) reporting. Our inpatient coders are trained to optimize reimbursement under the Medicare Severity Diagnosis Related Group (MS-DRG) system while maintaining strict compliance.
Core Competencies
- Principal and secondary diagnosis coding (ICD-10-CM)
- Procedure coding (ICD-10-PCS)
- MS-DRG and APR-DRG assignment
- CC/MCC identification and capture
- Present on Admission (POA) indicator assignment
- Discharge disposition and patient status coding
Our Inpatient Coding Process
Our certified inpatient coders perform a thorough review of the entire medical record — including H&P, progress notes, operative reports, lab results, and discharge summary — before assigning codes.
- Complete Chart Review: All documentation reviewed holistically.
- Code Assignment: ICD-10-CM/PCS codes with correct sequencing.
- DRG Optimization: Ensure all CCs and MCCs are captured.
- Compliance Check: Codes validated against MCC, CC lists, and grouper logic.
- QA & Feedback: Detailed coder feedback and educational reports.
DRG Optimization
Missed CCs and MCCs represent significant revenue leakage for hospitals. Our coders are specifically trained to identify all secondary diagnoses that qualify as complications or comorbidities, maximizing appropriate DRG weight and reimbursement without compromising compliance.
Compliance Assurance
We follow Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS) definitions, and CMS IPPS rules. Our multi-level QA process catches coding errors before claims are submitted, reducing your risk of audits and takebacks.