Coder, Outpatient

About the role

Ovation Healthcare seeks an Outpatient Coder to assign and abstract diagnoses from medical records for optimal and timely reimbursement and quality reporting. The position operates under general direction and supports independent hospitals and health systems.

Responsibilities

• Assign ICD-10-CM codes for medical record accounts, including but not limited to diagnoses.
• Abstract key data elements required for billing, regulatory agencies, and other databases.
• Review records for clinical pertinence and documentation to support accurate facility‑based charges for services performed during the encounter.
• Communicate with providers for clarification of documentation to ensure appropriate assignment of diagnoses, procedures, and/or facility evaluation/management (E/M) levels.
• Review and resolve claim edits related to outpatient encounters to ensure compliant billing, including medical necessity and NCCI/CCI edits.
• Assist with resolution of simple visit coding errors related to other outpatient visits as needed.
• Demonstrate courtesy and professionalism in interactions, appearance, attitude, and written/oral communications with visitors, co‑workers, physicians, and other hospital personnel, representing Medical Records Services as a high‑quality service area.
• Maintain patient confidentiality in accordance with hospital policy and industry/legal standards.
• Support hospital‑defined goals and patient‑care approaches; attend regular training sessions to improve patient and customer communications.

Skills

• Prioritizing and performing a variety of duties within a frequently changing environment of assignments, priorities, and deadlines.
• Imparting knowledge of procedures and techniques.
• Thorough working knowledge of ICD-10‑CM and CPT coding systems, and federal/state reimbursement regulations.
• Thorough working knowledge of hospital information systems, electronic medical record systems, and encoders.
• Working knowledge of standards for chart completion.
• Maintaining Continuing Education credits per AHIMA and/or AAPC requirements based on certification(s).
• Performing qualitative analysis of records using CPT/HCPCS and ICD-10‑CM guidelines in line with regulatory standards.
• Working knowledge of medical‑legal rules governing confidentiality and release of medical information, with ability to interpret and implement standards.
• Maintaining total confidentiality of all patient records.
• Comfortable working with AR teams to resolve issues.
• Ability to pass a coding assessment.
• Proficiency in Microsoft Office, including Outlook, Excel, and Teams.
• Ability to multitask and possess excellent communication skills.
• Meeting and maintaining a 95% quality accuracy rate and productivity standards.
• Experience working in a remote environment.

Requirements

• RHIT, RHIA, CEDC, COC, CPC, CCS‑P, or CCS credentials.
• Three or more years of coding experience.
• Ability to work 100% remotely.