/n Position Title /n Appeal Writer - DRG Coding (Fresher) /n Department /n DRG Coding & Clinical Appeals /n Job Summary /n 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. /n 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. /n Key Responsibilities /n /n

- Review inpatient medical records, discharge summaries, operative notes, laboratory results, and physician documentation.

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- Analyze DRG downgrades, coding denials, and clinical validation denials.

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- Prepare clear, concise, and evidence-based appeal letters using clinical findings and supporting documentation.

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- Interpret disease processes, treatments, diagnostic findings, and procedures to support appeal rationale.

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- Research payer denial reasons and assist in preparing appropriate rebuttals.

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- Collaborate with coding specialists, auditors, CDI teams, and physicians to gather necessary clinical evidence.

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- Ensure compliance with ICD-10, DRG guidelines, CMS regulations, and payer-specific policies.

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- Maintain productivity and quality standards established by the organization.

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- Participate in training programs related to DRG coding, medical coding, and denial management.

/n /n Required Qualifications /n Education /n /n

- MBBS, MD (Mandatory)

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- Freshers are encouraged to apply.

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- No prior experience required.

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- Clinical internship experience will be an added advantage.

/n /n Required Skills /n Clinical Knowledge /n /n

- Strong understanding of human anatomy, physiology, pathology, pharmacology, and disease processes.

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- Ability to interpret medical records, diagnostic reports, and physician documentation.

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- Good clinical reasoning and analytical skills.

/n /n Communication Skills /n /n

- Excellent written and verbal communication.

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- Strong medical writing and documentation skills.

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- Ability to present clinical arguments logically and effectively.

/n /n Analytical Skills /n /n

- Attention to detail and accuracy.

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- Ability to analyze complex clinical scenarios and identify relevant supporting evidence.

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- Problem-solving mindset and willingness to learn.

/n /n Technical Skills /n /n

- Basic knowledge of US healthcare systems, medical coding, or DRG concepts is preferred but not mandatory.

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- Proficiency in MS Office applications.

/n /n Preferred Candidate Profile /n /n

- MBBS/MD graduate seeking a non-clinical career in healthcare.

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- Strong academic background and clinical aptitude.

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- Interest in medical coding, DRG validation, CDI, payer denials, and revenue cycle management.

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- Quick learner with a passion for healthcare analytics and documentation review.

/n /n Growth opportunities Opportunities /n The role provides exposure to: /n /n

- DRG Coding and Validation

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- Clinical Documentation Improvement (CDI)

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- Denial Management and Appeals

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- Medical Coding Audits

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- Revenue Integrity

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- US Healthcare Reimbursement Systems

/n /n Job Location: Hyderabad / Work from office /n Employment Type: Full-Time /n Experience: Fresher (0-1 Year) /n Qualification: MBBS, MD Mandatory /n

📌 Appeal Writer - DRG Coding (Hyderabad)
🏢 PrimEra Medical Technologies
📍 Hyderabad