Coder, SDS

Job summary

The SDS Coder reviews medical records for outpatient and same-day surgical procedures to assign accurate diagnostic and procedural codes. They are responsible for ensuring accurate billing and reimbursement through quality assessments and provider queries.

Job details

Welcome to Ovation Healthcare! At Ovation Healthcare, 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: Ovation Healthcare is seeking a same day surgery coder with at least three years of experience. The SDS coder is responsible for reviewing medical records for outpatient, or same day, surgical procedures, and assigning appropriate diagnostic and procedural codes (CPT and ICD-10) to ensure accurate billing and reimbursement. Duties and Responsibilities: Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding. Submit necessary provider queries to resolve documentation discrepancies. 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. Abstracts and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as applicable. Knowledge, Skills, and Abilities: Must have facility outpatient surgery and observation experience and ideally be exposed to observation hours, injections, anesthesia, and infusion code assignment. 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 Five or more years of Auditing experience Physician surgery coding experience preferred 100% Remote

What you’ll do

The SDS Coder reviews medical records for outpatient and same-day surgical procedures to assign accurate diagnostic and procedural codes. They are responsible for ensuring accurate billing and reimbursement through quality assessments and provider queries.

Requirements

Candidates must have AHIMA/AAPC credentials, at least five years of auditing experience, and proficiency in outpatient surgery coding. A 95% quality accuracy rate and the ability to pass a coding assessment are required.

Listed skills

• Microsoft Teams · Preferred
• Microsoft Excel · Preferred
• Microsoft Office · Preferred
• Microsoft Outlook · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• ICD-10-CM Coding
• CPT Coding
• Medical Record Review
• Outpatient Surgery Coding
• Physician Surgery Coding
• Medical Auditing
• NCCI Edits
• Microsoft Office
• Microsoft Outlook
• Microsoft Excel
• Microsoft Teams
• Provider Queries
• Quality Assessment
• Anesthesia Coding
• Infusion Coding

Job areas

• Healthcare
• Consulting
• Administrative