Denial Registered Nurse (RN) DRG Appeal Writer / HIM Coding

Job overview

The Denial Registered Nurse (RN) DRG Appeal Writer / HIM Coding is an onsite role based in East Glastonbury, CT, supporting the Hartford HealthCare System Support Office. Compensation is not specified for this full-time position, which is part of a comprehensive healthcare network dedicated to revenue protection and coding accuracy. This role reviews and analyzes Diagnostic Related Grouper (DRG) downgrades, preparing detailed, evidence-based appeal letters to defend assigned DRGs and optimize reimbursement. The specialist interprets medical records, applies official coding guidelines, reviews payer contracts, and exercises clinical judgment to prevent future downgrades and enhance documentation accuracy.

What you'll do

• Review payer DRG downgrade denials
• analyze medical records and coding
• prepare and submit persuasive appeal letters
• maintain accurate appeal records
• lead trend analysis
• provide education to leaders/providers/coding/CDI teams
• achieve departmental KPIs
• mentor team members.

What we're looking for

Skills & competencies

full-time

day shift

rn

drg

appeal writer

him coding

east glastonbury ct

hartford healthcare

nursing

revenue cycle

Work arrangement

• Weekend coverage required

Benefits & perks

• Competitive benefits program, career development opportunities, work/life balance support.

Why this role

System Support Office, unique payroll/benefits/performance management, comprehensive healthcare network.

About the employer

Hartford HealthCare Corp. is hiring for this role. Industry: Administrative Management and General Management Consulting Services. Sector: 54.