Nurse Clinical Coder – Appeals for Health Outcomes

Optum, a UnitedHealth Group Company; Makati; On-site; PHP 700,000 - 1,000,000; Full time

Job summary

Optum Philippines is seeking an Appeals Coder/CV Nurse who will review patient records and craft defensible appeal letters, ensuring timely case completion with high-quality reviews.

The role requires a Bachelor’s in nursing with PHRN license, 3+ years bedside/ICU experience, 1+ year coding experience, and willingness to report onsite in Makati. You will follow Optum/OPAS policies and contribute to health outcomes.

Qualifications

• Bachelor's degree in nursing; PHRN active license; active certification.
• 3+ years bedside/critical care experience in tertiary/secondary hospital.
• 1+ year of coding experience.
• Willing to report onsite.

Responsibilities

• Review patient medical records and extract details for appeals.
• Draft defensible appeal letters per process instructions and department guidance.

Skills

Nursing

Critical care

Medical coding

On-site work

Education

Bachelor's degree in nursing

Job description

Optum Philippines is seeking an Appeals Coder/CV Nurse who will review patient records and craft defensible appeal letters, ensuring timely case completion with high-quality reviews.

The role requires a Bachelor’s in nursing with PHRN license, 3+ years bedside/ICU experience, 1+ year coding experience, and willingness to report onsite in Makati. You will follow Optum/OPAS policies and contribute to health outcomes.