Coder, Outpatient

Ovation Healthcare; Mississauga; Remote; CAD 71,000 - 106,000; Full time

Benefits offered by this job

Comprehensive health benefits

HSA with employer contributions

Flexible paid time off

Job summary

Ovation Healthcare seeks an Outpatient Coder to code and abstract diagnoses from medical records for timely reimbursement and quality reporting. This 100% remote role requires proficiency in ICD-10-CM and CPT coding, and collaboration with providers to ensure accurate documentation and billing.

You will support hospital-based coding activities and compliance from a remote setting. The candidate should have RHIT/RHIA/CCS credentials and at least 3 years of coding experience, with excellent

Qualifications

• 3+ years of coding experience.
• RHIT/RHIA/CCE credentials or CCS/CCS-P are preferred.
• Pass a coding assessment during selection.
• Experience with remote work and strong communication.
• Proficient in Microsoft Office applications.

Responsibilities

• Assign ICD-10-CM and CPT codes for outpatient records.
• Abstract data elements for billing and reporting.
• Review documentation to support accurate facility charges.
• Communicate with providers for documentation clarification.
• Resolve claim edits related to outpatient encounters to ensure compliant billing.

Skills

Remote work experience

Communication skills

Multi-tasking

Quality accuracy 95%

Education

RHIT, RHIA, CEDC, COC, CPC, CCS-P or CCS credentials

Three or more years of coding experience

Tools

Microsoft Office (Outlook, Excel, Teams)

Job description

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.

About The Job

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 seeks an Outpatient Coder. This role, under general direction, is responsible for coding and abstracting of diagnoses from medical records for optimal and timely reimbursement and quality reporting.

Duties and Responsibilities

• Assigns ICD‑10‑CM codes for medical record accounts, including but not limited to diagnoses.
• Abstracts key data elements required for billing, regulatory agencies, and other databases.
• Reviews records for clinical pertinence and documentation to support accurate facility‑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 evaluation/management (E/M) levels.
• Reviews and resolves claim edits related to outpatient 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 inMicrosoft 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

Benefits

The base compensation range for this position is:

$49,603.71 - $74,405.56

Compensation ranges could be hourly or salary depending upon the exempt status of the posted position.

Beginning compensation is determined based on objective factors such as location, qualifications, skills, certifications, and experience. Typically, a candidate is hired in the lower to midpoint of the range; the top end of the range is reserved for candidates with extensive specialized experience and mastery within the role. Compensation may increase over time based on performance, experience, and tenure.

Compensation is only part of Ovation's total compensation package. Some additional benefits offered to full-time associates are:

• Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long‑term disability coverage
• HSA with employer contributions, flexible spending accounts for health care, and dependent care accounts
• Wellness platform with premium incentives
• Employee assistance support and additional voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance
• Robust and flexible paid time off offerings and company paid holidays
• 401(k) plan with discretionary employer match opportunities
• Professional development opportunities
• Company issued equipment