Coder, Auditing

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.

Duties and Responsibilities:

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding and documentation reviews.
• Help create and review provider queries to resolve documentation discrepancies.
• Support manager with providing education regarding appropriate documentation and code applications.
• 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.
• Assist with organizing and maintain auditing logs for multiple clients and people.
• Create executive summaries based on findings, including recommendations for next steps.
• Be comfortable working with executives, physicians, and members of the C-suite.
  
  

Knowledge, Skills, and Abilities:

• Must have facility, professional, and critical access auditing experience and ideally be exposed to observation hours, injections, and infusion code assignment.
• Must be able to assist in educating coders, providers, and clinical staff.
• 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.
  
  

Work Experience, Education, and Certifications:

• AHIMA/AAPC Credentials
• One or more years of Auditing experience
• Three or more years of Coding experience
• CDI experience preferred
  
  

Working Conditions and Physical Requirements:

• Reliable high-speed internet connection is required for all remote/hybrid positions.
• Must have access to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities.
• A HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and compliance with all applicable HIPAA privacy and security regulations.