Coder, Edit/Denials

Ovation Healthcare

Edit & Denials Coder reviewing medical records to determine billing codes for Ovation Healthcare. Collaborating with clinical staff to resolve billing issues and developing appeals.

Posted 7/7/2026full-timeRemote • Tennessee • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in ICD-10 and CPT Coding, with a strong ability to analyze clinical documentation for accurate coding and appeals. Proficient in Microsoft Office tools and capable of maintaining high-quality standards in a remote work environment.

Highest-signal resume keywords

ICD-10 CodingCPT CodingCoding AssessmentMicrosoft Office ProficiencyCoding Credentials

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10 CodingCPT CodingCoding Guidelines ApplicationNCCI EditsCoding ClinicsRemittance Advice ReviewClaims Denial InvestigationDocumentation ReviewMulti-taskingQuality Accuracy Rate

Soft Skills

Excellent Communication SkillsProblem-solving

Tools & Technologies

Microsoft OutlookMicrosoft ExcelMicrosoft Teams

Certifications & Qualifications

CCSAHIMACCS-PCPCAAPCCPC-A

Industry Keywords

Reimbursement IssuesBilling ClearinghouseAR TeamsClinical DocumentationRemote Environment

About the role

Key responsibilities & impact

Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse
Creates appropriate letters to substantiate the validity of claims
Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up
Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty
Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals
Researches payer policies and processes
Reviews clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment
Works assigned work queues and tasks and reviews remittance advice for rejections and accuracy of payment amounts as needed
Identifies invoices or claims that have been rejected per billing edits/criteria

Requirements

What you’ll need

Knowledge of ICD-10 and CPT Coding
Must be comfortable working with AR teams to resolve issues
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
CCS, AHIMA, CCS-P, CPC, AAPC, CPC-A, or AAPC Credentials
Three or more years of Coding experience

Benefits

Comp & perks

Reliable high-speed internet connection is required for all remote/hybrid positions
HIPAA-compliant work environment