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 documentation and coding standards.
• Ensure all...