Appeal Writer (Hyderabad)

Appeal Writer (Hyderabad)

21 Aug
|
PrimEra Medical Technologies
|
Hyderabad

21 Aug

PrimEra Medical Technologies

Hyderabad

Job DescriptionJob Description
nPosition Title
nAppeal Writer - DRG Coding (Fresher)
nDepartment
nDRG Coding & Clinical Appeals
nJob Summary
nWe 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.
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.
nKey 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

nRequired Qualifications
nEducation
n
- n
- MBBS, MD (Mandatory)n
- Freshers are encouraged to apply.n

nExperience
n
- n
- No prior experience required.n
- Clinical internship experience will be an added advantage.n

nRequired Skills
nClinical Knowledge
n
- n
- Strong understanding of human anatomy, physiology, pathology, pharma

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

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