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Ovation Healthcare

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 45 years

⚕️ Healthcare Insurance

☁️ SaaS

📚 Education

Healthcare Insurance • SaaS • Education

Ovation Healthcare is a leading provider of shared services for independent hospitals and health systems. With over 45 years of experience, the company enhances hospital and system performance through services like leadership advisory, supply chain management, revenue cycle management, technology services, and clinical care management. Ovation Healthcare is dedicated to supporting the financial and clinical needs of hospitals while preserving their focus on patient care and community wellness. Their educational programs and consulting services aim to strengthen hospital operations, making healthcare delivery more efficient and effective.

📋 Description

• Responsible for reviewing medical records for outpatient, or same day, surgical procedures, and assigning appropriate diagnostic and procedural codes (CPT and ICD-10) to ensure accurate billing and reimbursement. • Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding. • Submit necessary provider queries to resolve documentation discrepancies. • Perform quality assessment of records, including verification of medical record documentation. • Review appropriate charges and make changes or recommendations based on the documentation. • Responsible for researching errors or missing documentation from medical records to provide accurate coding processes. • Abstracts and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as applicable.

🎯 Requirements

• AHIMA/AAPC Credentials • Five or more years of Auditing experience • Physician surgery coding experience preferred • Must have facility outpatient surgery and observation experience and ideally be exposed to observation hours, injections, anesthesia, and infusion code assignment. • Must be able to pass a coding assessment. • Must be proficient in Microsoft Office, including Outlook, Excel, and Teams. • Ability to multi-task and have excellent communication skills. • Must meet and maintain a 95% quality accuracy rate and productivity standards. • Must be able to apply official coding guidelines, NCCI edits, CPT Assistants, and Coding Clinics. • Must have experience working in a remote environment.

🏖️ Benefits

• 100% Remote