Coder, ProFee

Welcome to Ovation Healthcare! 

At Ovation Healthcare (formerly QHR Health), we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.  

The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.  

We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.  

Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com.  

Summary:

Ovation Healthcare company is seeking a Pro-Fee, Coder. This role, under general direction, is responsible for coding and abstracting of diagnoses and charging for procedures from medical records for optimal and timely reimbursement and quality reporting.

Duties and Responsibilities:

• Assigns ICD-10-CM codes, and CPT/HCPCS codes for various specialty service accounts, including but not limited to diagnoses, provider level evaluation & management (E/M) charges, and additional CPT-4 procedures.

• Abstracts key data elements required for billing, regulatory agencies, and other databases.

• Reviews records for clinical pertinence and documentation to support accurate facility and provider-based charges for services performed during the encounter.

• Communicates with providers for clarification of documentation to ensure appropriate assignment of diagnoses, procedures, and/or facility and provider evaluation/management (E/M) levels.

• Reviews and resolves claim edits related to emergency department encounters to ensure compliant billing, including but not limited to medical necessity and NCCI/CCI edits.

• Assists with resolution of simple visit coding errors related to other outpatient visits as needed.

• Demonstrates courtesy and professionalism through interaction, appearance, attitude, and written and oral communications with visitors, co-workers, physicians, and other hospital personnel as to represent the Medical Records Services as a high-quality service area of the Hospitals.

• Maintains patient confidentiality as required by Hospitals/departmental policy and industry/legal standards.

• Acknowledges and supports Hospitals defined goals and approach to patient care; attends regular training sessions to improve patient and customer communications.

Knowledge, Skills, and Abilities:

• Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities, and deadlines.

• Ability to impart knowledge of procedures and techniques.

• Thorough working knowledge of ICD-10-CM and CPT coding systems, and federal/state regulations regarding reimbursement.

• Thorough working knowledge of the hospital information system, electronic medical record systems, and encoder.

• Working knowledge of standards for chart completion.

• Maintains Continuing Education credits in accordance with the American Health Information Management Association's and/or American Academy of Professional Coders’ requirements based upon certification(s).

• Performs qualitative analysis of records in accordance with regulatory standards and coding requirements using CPT/HCPCS and ICD-10-CM guidelines.

• Working knowledge of medical-legal rules and regulations that govern the confidentiality and release of medical information with the ability to interpret and implement the standards.

• Must maintain total confidentiality of all patient records.

• Must be comfortable working with AR teams to resolve issues.

• Must be able to pass a coding assessment.  

• Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.

• Ability to multi-task and have excellent communication skills.

• Must meet and maintain a 95% quality accuracy rate and productivity standards.  

• Must have experience working in a remote environment.

Work Experience, Education, and Certifications:

• RHIT, RHIA, CEDC, COC, CPC, CCS-P or CCS Credentials

• Three or more years of Coding experience

100% Remote

Requires RHIT, RHIA, CEDC, COC, CPC, CCS-P, or CCS credential; 3+ years of coding experience; remote work experience; ICD-10-CM and CPT/HCPCS expertise; Microsoft Office proficiency; and 95% accuracy.

Key Responsibilities

• assigning codes
• abstracting data
• resolving edits

Skills & Tools

ICD-10-CM, CPT, HCPCS, electronic medical record systems, Microsoft Office, Microsoft Outlook, Microsoft Excel, Microsoft Teams

Job Details

• Category: Healthcare Services - Allied Health
• Seniority: Mid Level
• Commitment: Full Time
• Workplace: Remote — United States
• Languages: English

About Ovation Healthcare

A healthcare services company providing advisory, management, revenue cycle, and technology solutions to independent hospitals and health systems. — Industry: Healthcare