Purpose
The Coding Appeal Writer role centres on retrospective inpatient claim reviews, DRG validation, and crafting Coding-based appeal responses to ensure compliant reimbursement and alignment with CMS and payer policies

This position plays a critical role in evaluating the validity of DRG denial notices and creates a solid rebuttal against all invalid remarks using reputable coding guidance mentioned below. Strong coding knowledge is required to identify accurate code assignment that impacts the principal diagnosis selection, procedure codes, CC/MCC conditions in MS-DRG, and SOI conditions in APR-DRG accounts

Responsibilities

Analyze denied claims and craft detailed, clinically supported appeal letters using authoritative references such as ICD-10 CM/PCS integrated codebook, ICD-10-CM/PCS Official Guidelines for coding and reporting, CMS regulations, AHA Coding Clinics, and APR‑DRG/MS‑DRG methodologies





Provide coding input on behalf of provider appeals and grievances related to DRG downgrades

Ensure compliance with official coding guidelines, MS‑DRG and APR‑DRG methodologies, Medicare coverage policies

Prepare audit findings with clear rationale, regulatory support, and financial impact analysis will be added value

Qualifications

v Required:

- 5-10 years of experience in Inpatient DRG coding/auditing, CDI and DRG downgrade appeal writing

v Preferred:

· MBBS, BHMS, BAMS, BPT, B.Sc Nursing, B.Pharm or any other life science graduation

- Certification CCDS/CDIP/CCS required one of the certifications

Pay: ₹40,000.00 - ₹90,000.00 per month

Benefits:

- Health insurance
- Provident Fund

Work Location: In person

📌 DRG Appeal Writer (Kondapur)
🏢 KPC Techno Vision Private
📍 Kondapur