Remote Denials Coder & Appeals Specialist

Ovation; Brentwood (TN); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Ovation Healthcare seeks an Edit & Denials Coder to review medical records and determine appropriate billing codes with documentation support. The role involves advanced coding, payer issue investigation, and timely appeals to insurers.

Candidates should hold CCS/CCS-P/CPC or equivalent credentials, have 3+ years of coding experience, and be proficient in Microsoft Office. Remote/hybrid work with HIPAA-compliant setups is required.

Qualifications

• Must hold CCS, CCS-P, CPC or equivalent credentials.
• Three or more years of medical coding experience.
• Knowledge of ICD-10 and CPT coding guidelines.

Responsibilities

• Review documentation to identify facts for appealing denied claims.
• Create letters to substantiate claim validity and submit appeals.
• Collaborate with facility liaison to review documentation and support coding decisions.
• Investigate payer policies and reimbursement issues with coding staff.
• Ensure timely filing of appeals and accuracy of payment amounts.

Skills

ICD-10 coding

CPT coding

Remote work experience

Communication skills

Quality accuracy

Education

CCS

CCS-P

CPC

AAPC credentials

Tools

Microsoft Outlook

Microsoft Excel

Microsoft Teams

Job description

Ovation Healthcare seeks an Edit & Denials Coder to review medical records and determine appropriate billing codes with documentation support. The role involves advanced coding, payer issue investigation, and timely appeals to insurers.

Candidates should hold CCS/CCS-P/CPC or equivalent credentials, have 3+ years of coding experience, and be proficient in Microsoft Office. Remote/hybrid work with HIPAA-compliant setups is required.