Job Description
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...