Inpatient DRG Appeals Specialist

Health Business Solutions LLC; Pasig; On-site; PHP 420,000 - 620,000; Full time

Job summary

A healthcare solutions company is seeking an experienced medical coder to review inpatient records and handle DRG appeals. Responsibilities include analyzing payer denials and preparing DRG appeal letters in compliance with official coding guidelines. The ideal candidate will have strong knowledge of ICD‑10‑CM and experience in inpatient coding. This role also requires excellent communication skills and attention to detail to success in a fast-paced environment.

Qualifications

• Experience in reviewing inpatient medical records and coding standards.
• Ability to prepare compliant DRG appeal letters supported by official guidelines.
• Strong knowledge of CC/MCC logic and DRG systems.

Responsibilities

• Review inpatient medical records for validating diagnoses and procedures.
• Analyze payer denials related to DRG and coding validation disputes.
• Ensure compliance with HIPAA and maintain data privacy.

Skills

Inpatient coding experience

ICD‑10‑CM knowledge

CMS rules understanding

Attention to detail

Analytical skills

Excellent written communication

Job description

A healthcare solutions company is seeking an experienced medical coder to review inpatient records and handle DRG appeals. Responsibilities include analyzing payer denials and preparing DRG appeal letters in compliance with official coding guidelines. The ideal candidate will have strong knowledge of ICD‑10‑CM and experience in inpatient coding. This role also requires excellent communication skills and attention to detail to success in a fast-paced environment.