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 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.

n Key Responsibilities

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- 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.
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n Required Qualifications

n Education

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- MBBS, MD (Mandatory)
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- Freshers are encouraged to apply.
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n Experience

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

n Clinical Knowledge

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- 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.
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n Communication Skills

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- 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.
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n Analytical Skills

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- 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.
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n Technical Skills

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- 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.
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n Preferred Candidate Profile

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- 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.
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n Career Growth Opportunities

nThe role provides exposure to:

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- 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
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n Job Location: Hyderabad / Work from office

n Employment Type: Full-Time

n Experience: Fresher (0-1 Year)

n Qualification: MBBS, MD Mandatory

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