Manager, Coding Quality & Documentation

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 https://ovationhc.com.

Summary:

Amplify, an Ovation Healthcare company is seeking a Manager over coding quality and documentation. The successful candidate will perform coding reviews and documentation analyses internally over Amplify staff and externally over clients for various chart types/ service lines. They will function as a subject matter expert on correct coding.  

Duties and Responsibilities:

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding and documentation reviews. 

• Ensure compliance with all regulations for federal and state agencies, third-party payers, and organization policy.

• Develops and maintains professional skills and knowledge through attendance at relevant conferences, seminars and other educational programs, participation in professional organizations, and review of current literature.

• Provide guidance on annual code set updates.

• Create policies and procedures for coding quality assurance.

• Participate in recruitment and onboarding of qualified auditing staff.

• Create, submit and train on appropriate and necessary provider queries to resolve documentation discrepancies.

• Create and provide education regarding appropriate documentation and code application.

• 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.  

• Create, organize and maintain auditing logs/ policy for Amplify staff, multiple clients and others as assigned.

• Participate on potential client calls and share about Ovations services.

• Create executive summaries and other deliverables based on findings, including recommendations for next steps and professional references/ sources.

• Present on findings internally and externally on quality topics. Lead meetings as needed.

• Be comfortable working with executives, physicians, and members of the C-suite.

• Fields coding questions internally and externally in timely fashion with evidence.

• Other supervisory duties as assigned.

Work Experience, Education, and Certifications:

• Five (5)+ years of auditing experience

• AHIMA/AAPC credentials.

• Associate or Bachelor’s degree in related field is preferred.

• Facility, professional, and critical access auditing experience required; and ideally be exposed to observation hours, injections, and infusion code assignment.

Knowledge, Skills, and Abilities:

• Ability to educate coders, providers, clinical staff and work with AR teams to resolve issues.        

• Proficient in Microsoft Office, Outlook, Excel, Teams, EHRs and Revenue Cycle platforms.

• Ability to multi-task, have excellent communication skills and prioritize service to clients.

• Meet and maintain a 95% quality accuracy rate and productivity standards. 

• Appropriately apply NCCI, CPT Assistants, Coding Clinics and pass a coding assessment.

• Present professional demeanor representing Amplify/ Ovation.

• Experience working in a remote environment required.