Coder, Auditing (PRN)

Ovation Healthcare • Crest, CA

1d • Remote

About The Position

Ovation Healthcare partners with 375+ hospitals and health systems across 47 states. For 45+ years, Ovation Healthcare has supported hospitals and health systems through a portfolio of shared services – Leadership Advisory, Spend Management, Revenue Cycle Management, and Technology Services– designed to provide scale and efficiency to hospital business operations. This role involves applying appropriate coding classification standards and guidelines to medical record documentation for accurate coding and documentation reviews. The position also requires creating and reviewing provider queries to resolve documentation discrepancies, supporting the manager with education on documentation and code applications, and performing quality assessments of records. The coder will review appropriate charges, make changes or recommendations, and research errors or missing documentation to ensure accurate coding processes. Additionally, the role involves organizing and maintaining auditing logs, creating executive summaries with recommendations, and comfortable working with executives, physicians, and members of the C-suite.

Requirements

• Facility, professional, and critical access auditing experience.
• Experience with observation hours, injections, and infusion code assignment.
• Ability to assist in educating coders, providers, and clinical staff.
• Comfortable working with AR teams to resolve issues.
• Ability to pass a coding assessment.
• Proficient in Microsoft Office, including Outlook, Excel, and Teams.
• Ability to multi-task and have excellent communication skills.
• Meet and maintain a 95% quality accuracy rate and productivity standards.
• Ability to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics.
• Experience working in a remote environment.

Nice To Haves

• Ideally exposed to observation hours, injections, and infusion code assignment.

Responsibilities

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding and documentation reviews.
• Create and review provider queries to resolve documentation discrepancies.
• Support manager with providing education regarding appropriate documentation and code applications.
• Perform quality assessment of records, including verification of medical record documentation.
• Review appropriate charges and make changes or recommendations based on the documentation.
• Research errors or missing documentation from medical records to provide accurate coding processes.
• Assist with organizing and maintain auditing logs for multiple clients and people.
• Create executive summaries based on findings, including recommendations for next steps.
• Be comfortable working with executives, physicians, and members of the C-suite.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed