DRG Appeals Writer

Job Summary

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