Remote Clinical Appeals Writer - ICD-10, DRG & MCG

Our Clients

Full-time Bio & Pharmacology & Health
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Location
, metro manila, philippines, metro manila, Philippines
Posted
July 26, 2026

Job Description

Our Clients is seeking a Clinical Appeals Specialist to review and prepare clinical and coding-related appeals for denied or downgraded healthcare claims. You will analyze medical documentation, apply ICD-10 coding guidelines, and utilize MCG/InterQual criteria to support medical necessity and DRG validation.

The ideal candidate has experience in clinical appeals writing, medical coding, CDI, or DRG downgrade review within a US healthcare environment and can work effectively in a remote setup.

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