20 Aug
|
PrimEra Medical Technologies
|
Hyderabad
20 Aug
PrimEra Medical Technologies
Hyderabad
Job Description Job Description
n Position Title
n Appeal Writer - DRG Coding (Fresher)
n Department
nDRG Coding & Clinical Appeals
n Job Summary
nWe 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.
nThis 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.
n Key Responsibilities
n
- n
- Review inpatient medical records, discharge summaries, operative notes, laboratory results, and physician documentation.n
- Analyze DRG downgrades, coding denials, and clinical validation denials.n
- Prepare clear, concise, and evidence-based appeal letters using clinical findings and supporting documentation.n
- Interpret disease processes, treatments, diagnostic findings, and procedures to support appeal rationale.n
- Research payer denial reasons and assist in preparing appropriate rebuttals.n
- Collaborate with coding specialists, auditors, CDI teams, and physicians to gather necessary clinical evidence.n
- Ensure compliance with ICD-10, DRG guidelines, CMS regulations, and payer-specific policies.n
- Maintain productivity and quality standards established by the organization.n
- Participate in training programs related to DRG coding, medical coding, and denial management.n
n Required Qualifications
n Education
n
- n
- MBBS, MD (Mandatory)n
- Freshers are encouraged to apply.n
n Experience
n
- n
- No prior experience required.n
- Clinical internship experience will be an added advantage.n
n Required Skills
n Clinical Knowledge
n
- n
- Robust understanding of human anatomy, physiology, patho
📌 Appeal Writer (Hyderabad)
🏢 PrimEra Medical Technologies
📍 Hyderabad