Clinical Appeals Specialist

CorroHealth, Inc.; India; Remote; INR 500,000 - 800,000; Full time

Job summary

CorroHealth, Inc. is seeking a Clinical Appeals Specialist to support DRG and medical necessity appeal writing. The role requires MBBS or NCLEX RN credentials with at least 2 years of hands-on experience in DRG appeals and clinical documentation.

The position involves coordinating with clinical and coding teams, assembling documentation, and ensuring adherence to payer guidelines. It may require multi-city coordination within India.

Qualifications

• MBBS/NCLEX RN with 2+ years of DRG/medical necessity appeal writing experience.
• Experience in medical coding or health care reimbursement is a plus.

Responsibilities

• Prepare DRG/medical necessity appeals with supporting documentation.
• Maintain compliance with relevant guidelines and policies.
• Collaborate with clinical teams to obtain required records and data.

Skills

DRG/Medical necessity appeal writing

RN credential

Education

MBBS or NCLEX RN credential

Job description

Clinical Appeals Specialist### Clinical Appeals SpecialistApply: Bangalore: Hyderabad: Chennai DLF: Noida: Coimbatore: Full time: Posted 2 Days Ago: JR106315**About Us:**Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.**ESSENTIAL DUTIES AND RESPONSIBILITIES:** **Note:** The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.MBBS/NCLEX RN with 2 plus years of experience in DRG/ Medical necessity appeal writing experience.**PHYSICAL DEMANDS:** **Note:** Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.