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Coder
Ovation HealthcareResponsible for coding medical claims for outpatient services at rural healthcare facilities. Ensuring accuracy and maximizing reimbursement while demonstrating professionalism and teamwork.
About the role
Key responsibilities & impact- Responsible for critical access hospital coding; including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic.
- Ensure the timely and accurate coding of medical claims while maximizing reimbursement for services.
- Receive and review charge entry data from practice sites.
- Identify and investigate incomplete or missing charges.
- Abstract clinical information; translate medical documentation into diagnoses and procedural codes while utilizing currently accepted coding and classification systems.
- Sequence codes according to established guidelines.
- 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.
Requirements
What you’ll need- High School Diploma or GED - required
- Associate Degree - preferred
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) - required
- Three to five years in emergency room coding, infusion coding, specialty clinic procedure coding - preferred
- Two years’ experience with formal coding training - considered
- Knowledge of medical terminology - required
- Critical Access Hospital and/or Rural Health Clinic coding is a plus
- 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
Benefits
Comp & perks- 100% Remote 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
ATS Keywords
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Hard Skills & Tools
medical codingemergency room codinginfusion codingspecialty clinic procedure codingcharge entryabstracting clinical informationcoding and classification systemsmedical terminologydenial resolutionclaim submission
Soft Skills
strong verbal communicationstrong written communicationprofessional attitudeability to manage competing prioritiesteamworkproblem-solvingattention to detailconfidentialityinvestigative skillssuggestive resolution
Certifications
Certified Professional Coder (CPC)Certified Coding Specialist (CCS)High School DiplomaGEDAssociate Degree