DRG Appeals Specialist - Cebu City
4 linggo ang nakalipas

Job summary
This position is responsible for reviewing inpatient medical records to validate principal diagnosis, secondary diagnoses (CC/MCC), procedures and DRG assignment.The specialist will analyze payer denials involving DRG downgrades, removal of CC/MCC and clinical validation denials.
A clear and concise appeal letter must be supported by ICD-10-CM/PCS Official Guidelines and CMS rules.
Paglalarawan ng trabaho
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