Want to know if this job is worth applying to?
Town of Islip, New York, United States
Remote only
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:
Responsible for accurately coding a wide range of medical specialties for ruralMED, ensuring compliance with all regulatory guidelines and maximizing reimbursement.
Duties & Responsibilities:
* Assign appropriate CPT, ICD-10-CM, and HCPCS codes to diagnoses and procedures for professional and facility services across multiple medical specialties, including but not limited to family medicine, internal medicine, general surgery, and orthopedics.
* Review medical documentation, including physician notes, operative reports, and diagnostic reports, to extract all necessary information for accurate coding.
* Abstract pertinent information from patient records for data entry and statistical reporting.
* Identify and clarify ambiguous or incomplete documentation with physicians and other healthcare providers to ensure coding accuracy and compliance.
* Stay current with coding guidelines, regulations, and industry changes through continuous education and professional development.
* Participate in regular coding audits and provide feedback for process improvement.
* Collaborate with billing and revenue cycle teams to resolve coding-related denials and rejections.
* Maintain patient confidentiality and adhere to all HIPAA regulations.
* Assist in training and mentoring less experienced coders as needed.
Job Qualifications:
* Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required. Additional specialty certifications (e.g., CEMC, CGSC, COSC) preferred.
* Minimum of 3-5 years of multi-specialty coding experience, preferably within a rural healthcare setting.
* Extensive knowledge of CPT, ICD-10-CM, and HCPCS coding systems, as well as medical terminology, anatomy, and physiology.
* Thorough understanding of Medicare, Medicaid, and commercial payer guidelines and regulations.
* Proficiency in electronic health record (EHR) systems and coding software.
* Strong analytical and problem-solving skills with meticulous attention to detail.
* Excellent written and verbal communication skills, with the ability to effectively interact with physicians and other healthcare professionals.
* Ability to work independently and as part of a team in a fast-paced environment.
* Commitment to ongoing professional development and staying abreast of coding updates.
