Hospital Outpatient Specialty Coder

Ovation Healthcare

1d•Remote

About The Position

Welcome to Ovation Healthcare! At Ovation Healthcare (formerly QHR Health), we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare’s vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare, you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork. Ovation Healthcare’s corporate headquarters is located in Brentwood, TN. For more information, visit www.ovationhc.com. Summary: ruralMED Management Resources, an Ovation Healthcare partner, seeks a Hospital Outpatient Specialty Coder. This role, under general direction, is responsible for critical access hospital coding; including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic. They will ensure the timely and accurate coding of medical claims while maximizing reimbursement for services. Duties and Responsibilities: Employee must have the skills, ability and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Specific job duties will vary based upon client assignment. Employee will also abide by ruralMED’s policies as a condition of employment. Ovation will never contact applicants via Chatwork or any other messaging platform outside of our official channels. If you receive any communication claiming to be from Ovation through Chatwork or any unauthorized platform, please disregard it and report it to us immediately. Our official communication will always come from our company email domain or through recognized professional channels like LinkedIn. If you have any questions or concerns regarding the authenticity of a communication, please contact us directly at [email protected] for verification. Headquartered in Brentwood, Tenn., 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.

Requirements

High School Diploma or GED - required
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) - required
Knowledge of medical terminology - required
Proficient with Microsoft Office
Demonstrated strong verbal and written communication skills
Ability to use multiple client systems and manage competing priorities
Enthusiasm for a remote teamwork environment
100% Remote

Nice To Haves

Associate Degree - preferred
Three to five years in emergency room coding, infusion coding, specialty clinic procedure coding - preferred
Two years’ experience with formal coding training - considered
Critical Access Hospital and/or Rural Health Clinic coding is a plus

Responsibilities

Receive and review charge entry data from practice sites
Identify and investigate incomplete or missing charges
Abstract clinical information; translates medical documentation into diagnoses and procedural codes while utilizing currently accepted coding and classification systems
Sequence codes according to established guidelines
Thorough analysis and interpretation of medical information, medical diagnoses, coding/classification systems, to ensure accuracy for prospective payment system reimbursement
Maintain current knowledge of coding rules and regulations as designated by the AMA, Centers of Medicare and Medicaid Services (CMS) and other payers
Maintain proficient knowledge of EHR, as well as any other systems to perform job duties
Communicate issues to management, including payer, system, or escalated account issues
Identify medical necessity denial trends and provide suggestions for resolution
May perform other billing functions including claim submission, unpaid claims follow-up, denial resolution
Participation in department meetings, in-service programs, and continuing education programs
Convey professional attitude with patients, visitors, physicians, office staff and hospital personnel
Assure confidentiality of patient information, maintaining compliance with policies and procedures
Perform other duties as assigned