OPAS Appeals Coding (Quezon City, Makati, Muntinlupa)

Work Setup/Shift Schedule: Hybrid; Shifting

Schedule

Primary Responsibilities

The Appeals Coder/CV Nurse will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department’s/company’s guidance. The Appeals Coder/CV Nurse will complete their case within the time expectations while providing high quality reviews. Qualifications

Bachelor’s degree of Nursing + PHRN Active License + Active Coding Certification (CCS, CCS-P, CPC-H, CPC, RHIT, RHIA, CDIP, CCDS)At least 3 years and above clinical exp-bed side, critical care in Tertiary/Secondary Hospital (ICU, CCU, Telemetry, Cardiovascular ICU, Medical ICU, ER, MS); Exp should be from the past 5 years + 2 years of coding experience