DRG Appeals Writer

A company is looking for a DRG Appeals Writer. Key Responsibilities Manage administrative appeals of denied reimbursement claims for Medicare and Medicaid Prepare coding appeals by reviewing and analyzing clinical and coding information from medical records Testify as an expert in medical coding during appeal hearings before an administrative law judge Required Qualifications Bachelor's degree or six years of relevant work experience in lieu of a degree Five years of inpatient coding and DRG-MS/DRG auditing experience in a healthcare setting Working knowledge of ICD-10 guidelines and experience with coding software One or more certifications in health information management or coding required Experience in a multi-facility organization and remote coding preferred

Jun 20, 2025 - 00:30

A company is looking for a DRG Appeals Writer. Key Responsibilities Manage administrative appeals of denied reimbursement claims for Medicare and Medicaid Prepare coding appeals by reviewing and analyzing clinical and coding information from medical records Testify as an expert in medical coding during appeal hearings before an administrative law judge Required Qualifications Bachelor's degree or six years of relevant work experience in lieu of a degree Five years of inpatient coding and DRG-MS/DRG auditing experience in a healthcare setting Working knowledge of ICD-10 guidelines and experience with coding software One or more certifications in health information management or coding required Experience in a multi-facility organization and remote coding preferred