Appeals Coder

OPAS Appeals Coder / Cardiovascular Nurse

Location: Quezon City, Makati, or Muntinlupa
Work Setup: Hybrid
Schedule: Shifting Schedule

Job Summary

The OPAS Appeals Coder / Cardiovascular Nurse is responsible for reviewing and extracting pertinent clinical information from patient medical records and preparing well-supported appeal letters based on established guidelines and process requirements. This role requires strong clinical and coding expertise to ensure accurate, high-quality case reviews while meeting productivity and turnaround time expectations.

Key Responsibilities

• Review patient medical records and identify relevant clinical information for appeals processing.
• Accurately extract and document case details based on established guidelines.
• Prepare clear, concise, and defensible appeal letters supported by clinical documentati...