Coder, Edit/Denials

Ovation Healthcare; Brentwood (TN); Remote; USD 50,000 - 70,000; Full time

Job summary

Ovation Healthcare is seeking a Medical Coder to accurately assign ICD-10-CM/PCS codes to inpatient and outpatient records. The role requires three years of coding experience and AHIMA/AAPC credentials, with responsibilities including quality assessments and resolving discrepancies in medical documentation. Join a dynamic team dedicated to improving community healthcare.

Qualifications

• Three years’ coding experience required.
• Inpatient medical and surgical coding experience is a must.
• Proficient in Microsoft Office, including Excel, Outlook, and Teams.

Responsibilities

• Apply coding classification standards to medical record documentation.
• Submit provider queries to resolve documentation discrepancies.
• Conduct quality assessments of medical records.

Skills

Attention to detail

Communication

Multi-tasking

Education

AHIMA/AAPC Credentials

Tools

Microsoft Office

Job description

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:

The Medical Coder accurately assigns ICD-10-CM/PCS codes to inpatient and outpatient records in accordance with coding standards. They review medical documentation, resolve discrepancies through provider queries, and ensure the accuracy and completeness of records. The coder also conducts quality assessments and researches missing or incorrect information to support proper coding and reimbursement.

Duties and Responsibilities:

Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.

Submit necessary provider queries to resolve documentation discrepancies.

Perform quality assessment of records, including verification of medical record documentation.

Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.

Abstracts and assigns the appropriate ICD-10-CM/PCS codes for all diagnoses and procedures performed in the outpatient and inpatient settings as applicable.

Knowledge, Skills, and Abilities:

Three years’ coding experience.

AHIMA/AAPC Credentials.

Work Experience, Education, and Certifications:

Must have inpatient medical and surgical coding experience, including complicated procedures.

Must have experience coding for trauma centers and teaching facilities.

Must be able to pass a coding assessment.

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

Must have the ability to multi-task and excellent communication skills.

Must maintain a 95% QA accuracy rate and meet production expectations.

Must be able to apply official coding guidelines and Coding Clinics.

Must have experience working in a remote environment

Attention

Ovation will never contact applicants via Chatwork or any other messaging platform outside of our official channels.

If you receive any communication claiming to be from Ovation through Chatwork or any unauthorized platform, please disregard it and report it to us immediately.

Our official communication will always come from our company email domain or through recognized professional channels like LinkedIn.

If you have any questions or concerns regarding the authenticity of a communication, please contact us directly at [e-mail] for verification.

About Us

Headquartered in Brentwood, Tenn., Ovation Healthcare partners with 220+ hospitals and health systems across 40+ states. For 45 years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Octave Advisory Services, Elevate Supply and Expense Management Solutions, Amplify Revenue Cycle Management, Forte Professional Solutions, and Cadence Clinical Services– designed to provide scale and efficiency to hospital business operations.