Appeals Coder & CV Nurse (Critical Care)

Hammerjack Pty Ltd; Metro Manila; Hybrid; PHP 480,000 - 720,000; Full time

Benefits offered by this job

Fixed Weekends Off

Pure Non-Voice Account

Medical Plan (HMO) from Day 1 of work

Retirement Plan

Dental, Medical, and Optical Reimburse

Life and Disability Insurance

Paid Time-Off Benefits

Tuition Fee Reimbursement

EAP

Annual Merit Increases

Employee Recognition

Training and Staff Development

Employee Referral Program

Volunteerism Opportunity

All Mandatory Statutory Benefits

Job summary

Optum is seeking an Appeals Coder/CV Nurse to review patient medical records, extract key case details, and draft defensible appeal letters under process guidance. The role emphasizes timely case completion and high-quality reviews in alignment with Optum and OPAS policies.

The position offers a hybrid setup across Manila sites with competitive compensation and benefit programs. The ideal candidate has active PHRN and coding licenses plus clinical and coding experience.

Qualifications

• Active PHRN license and Medical Coding license required.
• 3+ years of critical care bedside experience in a tertiary hospital.
• 2+ years of medical coding experience required.

Responsibilities

• Review and extract pertinent case details from patient medical records.
• Craft strongly defensible appeal letters per process instructions and company guidance.

Skills

Medical Coding Experience

Education

Active PHRN License and Medical Coding License (AAPC or AHIMA)

Job description

Optum is seeking an Appeals Coder/CV Nurse to review patient medical records, extract key case details, and draft defensible appeal letters under process guidance. The role emphasizes timely case completion and high-quality reviews in alignment with Optum and OPAS policies.

The position offers a hybrid setup across Manila sites with competitive compensation and benefit programs. The ideal candidate has active PHRN and coding licenses plus clinical and coding experience.