Remote Denials Coder - Appeals & Coding Expert

QHR Health, LLC dba Ovation Healthcare; United States; Remote; USD 60,000 - 85,000; Full time

Job summary

Ovation Healthcare seeks an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role performs advanced coding and appeal activities, investigates payer issues, completes charge corrections, and ensures timely filing of appeals to insurance companies.

The candidate should have CCS, AHIMA, CPC or similar credentials; 3+ years of coding experience; strong ICD-10/CPT knowledge; and proficiency with Microsoft Office.

Qualifications

• CCS/AHIMA/CPC credentials required or preferred.
• Three or more years of coding experience.
• Experience in a remote work environment.
• Able to pass a coding assessment.
• Proficient with ICD-10 and CPT coding.

Responsibilities

• Review medical records to identify facts for appealing denied claims.
• Create correspondence to substantiate claim validity and assist appeals.
• Coordinate with facility liaison to review documentation and tagging for follow-up.
• Investigate payer issues and collaborate with coding staff to resolve denials.
• Review remittance advice for rejections and correct payment amounts as needed.
• Identify invoices or claims rejected by billing edits and criteria.

Skills

ICD-10 coding

CPT coding

Remote work experience

Coding assessment

Microsoft Office

communication

Education

CCS/AHIMA/CPC credentials

3+ years coding experience

Tools

Outlook

Excel

Teams

Job description

Ovation Healthcare seeks an Edit & Denials Coder to review medical records to determine appropriate billing codes and necessary documentation. This role performs advanced coding and appeal activities, investigates payer issues, completes charge corrections, and ensures timely filing of appeals to insurance companies.

The candidate should have CCS, AHIMA, CPC or similar credentials; 3+ years of coding experience; strong ICD-10/CPT knowledge; and proficiency with Microsoft Office.