Coder, Profee

Ovation Healthcare • Crest, CA

1d • $49,604 - $74,406 • Remote

About The Position

Ovation Healthcare seeks a Pro-Fee Coder to code and abstract diagnoses and procedure charges from medical records to support optimal, timely reimbursement and quality reporting. Under general direction, the role supports specialty service accounts and reviews documentation, charges, and claim edits for accurate, compliant billing. The position is 100% remote and requires experience working in a remote environment.

The Coder works with providers to clarify documentation, collaborates with accounts receivable teams to resolve issues, and maintains patient confidentiality. The role also requires maintaining coding credentials’ continuing education, meeting productivity standards, and achieving at least 95% quality accuracy.

Requirements

• RHIT, RHIA, CEDC, COC, CPC, CCS-P, or CCS credential.
• Three or more years of coding experience.
• Experience working in a remote environment.
• Thorough working knowledge of ICD-10-CM and CPT coding systems and federal and state reimbursement regulations.
• Thorough working knowledge of hospital information systems, electronic medical record systems, and encoders.
• Working knowledge of standards for chart completion.
• Working knowledge of medical-legal rules and regulations governing confidentiality and release of medical information, and the ability to interpret and implement those standards.
• Ability to maintain total confidentiality of patient records.
• Comfort working with accounts receivable teams to resolve issues.
• Ability to pass a coding assessment.
• Proficiency in Microsoft Office, including Outlook, Excel, and Teams.
• Ability to prioritize and perform varied duties amid frequently changing assignments, priorities, and deadlines.
• Ability to impart knowledge of procedures and techniques.
• Ability to multitask and communicate effectively.
• Ability to meet and maintain a 95% quality accuracy rate and productivity standards.

Responsibilities

• Assign ICD-10-CM and CPT/HCPCS codes for specialty service accounts, including diagnoses, provider-level evaluation and management (E/M) charges, and additional CPT-4 procedures.
• Abstract key data elements required for billing, regulatory agencies, and other databases.
• Review records for clinical pertinence and documentation supporting accurate facility and provider-based charges for services performed during an encounter.
• Communicate with providers to clarify documentation and ensure appropriate assignment of diagnoses, procedures, and facility and provider E/M levels.
• Review and resolve claim edits related to emergency department encounters, including medical necessity and NCCI/CCI edits, to support compliant billing.
• Assist with resolving simple visit coding errors for other outpatient visits as needed.
• Interact professionally and courteously with visitors, coworkers, physicians, and other hospital personnel, representing Medical Records Services as a high-quality service area.
• Maintain patient confidentiality in accordance with hospital and departmental policies and industry and legal standards.
• Support hospital goals and its approach to patient care, and attend regular training to improve patient and customer communications.
• Maintain continuing education credits in accordance with applicable AHIMA and/or AAPC requirements based on certifications.
• Perform qualitative analysis of records in accordance with regulatory standards and coding requirements using CPT/HCPCS and ICD-10-CM guidelines.
• Work with accounts receivable teams to resolve issues.
• Meet and maintain a 95% quality accuracy rate and productivity standards.

Benefits

• Comprehensive health and wellness benefits, including medical, dental, vision, life insurance, and short- and long-term disability coverage.
• HSA with employer contributions, flexible spending accounts for health care, and dependent care accounts.
• Wellness platform with premium incentives.
• Employee assistance support and voluntary supplemental plans, including accident, critical illness, hospital indemnity, and child disability insurance.
• Flexible paid time off offerings and company-paid holidays.
• 401(k) plan with discretionary employer match opportunities.
• Professional development opportunities.
• Company-issued equipment.

What This Job Offers

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