Nurse Clinical Coder – Appeals for Health Outcomes

Optum, a UnitedHealth Group Company; Makati; Sur place; PHP 700 000 - 1 000 000; Plein temps

Résumé du poste

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.

Responsabilités

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

Connaissances

Nursing

Critical care

Medical coding

On-site work

Formation

Bachelor's degree in nursing

Description du poste

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.