18 Aug
|
PrimEra Medical Technologies
|
Hyderabad
18 Aug
PrimEra Medical Technologies
Hyderabad
Job Description
Position Title
Appeal Writer - DRG Coding (Fresher)
Department
DRG Coding & Clinical Appeals
Job Summary
We are seeking highly motivated MBBS,MD graduates with solid clinical knowledge to join our DRG Coding and Appeals team as an Appeal Writer. The role involves reviewing inpatient medical records, understanding clinical documentation, analyzing payer denials, and drafting evidence-based appeal letters to support appropriate DRG assignments and reimbursement.
This is an excellent opportunity for fresh medical graduates looking to build a career in the US Healthcare Revenue Cycle Management (RCM), Clinical Documentation Improvement (CDI), and DRG validation domain.
Key Responsibilities
Review inpatient medical records, discharge summaries, operative notes, laboratory results, and physician documentation.
Analyze DRG downgrades, coding denials, and clinical validation denials.
Prepare clear, concise, and evidence-based appeal letters using clinical findings and supporting documentation.
Interpret disease processes, treatments, diagnostic findings,
and procedures to support appeal rationale.
Research payer denial reasons and assist in preparing appropriate rebuttals.
Collaborate with coding specialists, auditors, CDI teams, and physicians to gather necessary clinical evidence.
Ensure compliance with ICD-10, DRG guidelines, CMS regulations, and payer-specific policies.
Maintain productivity and quality standards established by the organization.
Participate in training programs related to DRG coding, medical coding, and denial management.
Required Qualifications
Education
MBBS, MD (Mandatory)
Freshers are encouraged to apply.
Experience
No prior experience required.
Clinical internship experience will be an added advantage.
Required Skills
Clinical Knowledge
Strong understanding of human anatomy, physiology, pathology, pharmacology, and disease processes.
Ability to interpret medical records, diagnostic reports, and physician documentation.
Good clinica
📌 Appeal Writer (Hyderabad)
🏢 PrimEra Medical Technologies
📍 Hyderabad