Remote Denials & Coding Specialist (ICD-10/CPT)

Ovation Healthcare; United States; Remote; 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 and documentation. This role handles advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies.

The ideal candidate has AHIMA/CPC credentials, at least three years of coding experience, and comfortable working remotely with HIPAA-compliant practices.

Qualifications

• Knowledge of ICD-10 and CPT Coding.
• Comfortable working with AR teams to resolve issues.
• Able to pass a coding assessment.
• Proficient in Microsoft Office, including Outlook, Excel, and Teams.
• Able to multi-task with strong communication.
• Maintain 95% quality accuracy and productivity.
• Able to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics.
• Experience working in a remote environment.

Responsibilities

• Reviews documentation to identify facts for appealing denied claims or holds.
• Meets with facility liaison to review documentation and develop appeals.
• Researches payer policies and processes.
• Reviews clinical documentation to identify pertinent facts for diagnoses and procedures.
• Works queues, reviews remittance advice, and identifies rejected invoices or claims.

Skills

ICD-10 & CPT Coding

AR collaboration

Coding assessment

Microsoft Office

Multi-tasking

Quality 95% accuracy

Coding guidelines & clinics

Remote work experience

Education

Credentials: CCS / CCS-P / CPC / AHIMA / CPC-A

Tools

Microsoft Office Suite

Job description

Ovation Healthcare seeks an Edit & Denials Coder to review medical records and determine appropriate billing codes and documentation. This role handles advanced coding and appeal activities; investigating payer issues, completing charge corrections, and for timely filing of appeals to insurance companies.

The ideal candidate has AHIMA/CPC credentials, at least three years of coding experience, and comfortable working remotely with HIPAA-compliant practices.