Clinical Appeals Nurse Coder (RN, Critical Care)

Optum Philippines; Makati; On-site; PHP 600,000 - 900,000; Full time

Job summary

Optum Philippines is seeking an Appeals Coder/CV Nurse to accurately review patient medical records and craft strong, defensible appeal letters following our process guidelines.

The ideal candidate holds a Bachelor's degree in nursing with an active PHRN license and current certification, has at least 3 years of clinical experience (ICU/ER) and at least 1 year of coding experience, and is willing to report onsite in Metro Manila.

Qualifications

• Bachelor's degree in nursing with active PHRN license and active certification.
• 3+ years of clinical experience in ICU/ER settings.
• 1+ years of coding experience.
• Willing to report onsite in the Philippines.

Responsibilities

• Review patient medical records and craft defensible appeal letters per process instructions and guidance.

Skills

Nursing expertise

Coding proficiency

Onsite readiness

Education

Bachelor's degree in nursing

PHRN Active License

Active Certification

Job description

Optum Philippines is seeking an Appeals Coder/CV Nurse to accurately review patient medical records and craft strong, defensible appeal letters following our process guidelines.

The ideal candidate holds a Bachelor's degree in nursing with an active PHRN license and current certification, has at least 3 years of clinical experience (ICU/ER) and at least 1 year of coding experience, and is willing to report onsite in Metro Manila.