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 strong 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
- Robust understanding of human anatomy, physiology, pathology, pharmacology, and disease processes.
- Ability to interpret medical records, diagnostic report

📌 Appeal Writer (Hyderabad)
🏢 PrimEra Medical Technologies
📍 Hyderabad