The Quality Assurance Specialist monitors call center interactions to ensure service standards are met and provides actionable insights for performance improvement. They are responsible for generating reports, facilitating QA training, and leading calibration sessions with management.
Ovation Healthcare
18 Remote Job Openings at Ovation Healthcare
Manager, Quality & Revenue Integrity
Ovation Healthcare
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Full Time
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14 hours ago
Ovation Healthcare
Lead initiatives to ensure accuracy, compliance, and optimization of hospital revenue cycle processes and clinical documentation. Partner with clinical, coding, and finance teams to reduce revenue leakage and maintain regulatory standards.
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.
The role focuses on following up with insurance payers to resolve outstanding claims and accelerate cash collections. Responsibilities include writing appeals for denials and documenting account activities within the company's workflow tools.
The Director provides strategic oversight of revenue cycle operations to improve cash acceleration and net revenue through a metrics-driven culture. They manage multiple managers, lead project teams, and serve as the primary liaison between revenue cycle operations and hospital leadership.
Responsible for coding and abstracting diagnoses and procedures from emergency department medical records to ensure optimal reimbursement and quality reporting. This includes communicating with providers for documentation clarification and resolving claim edits.
Review medical records to determine appropriate billing codes and manage the appeal process for denied claims. Collaborate with facility liaisons and clinical staff to resolve coding issues and ensure accurate reimbursement.
Oversee the day-to-day operations of the Follow Up team, including monitoring productivity, auditing work, and managing workflows. Identify AR trends and resolve unpaid claims through communication with insurance carriers and the processing of appeals.
The Coding Manager provides strategic and operational management for assigned clients, overseeing both on-shore and off-shore coding resources. Key duties include monitoring productivity and quality standards, managing SLAs, and implementing process improvements to enhance efficiency.
The Associate Consultant analyzes healthcare data to support the development of strategic plans, medical staff development plans, and Community Health Needs Assessments. They are responsible for preparing client deliverables and conducting strategic interviews to provide actionable recommendations.
Apply coding classification standards to medical records and perform quality assessments to ensure accurate documentation. Create executive summaries and provide education to providers and clinical staff regarding code applications.
Pre-Service Representatives are responsible for scheduling and pre-registering patients for facility visits via telephone. They also handle insurance verification, collect financial obligations, and maintain accurate patient logs.
The Medicare Specialist manages the billing and collection processes for Medicare patients, ensuring compliance with all relevant regulations. They are responsible for processing claims, resolving billing discrepancies, and communicating with patients regarding their coverage and balances.
The specialist is responsible for following up with insurance payers on outstanding claims to resolve obstacles and accelerate cash collections. They must also document account activity, write appeals for denials, and maintain productivity and quality standards.
The AVP of Pharmacy Services is responsible for driving strategic growth, commercialization, and the execution of new business opportunities within pharmacy services. This role also involves leading pharmacy engagement efforts, mentoring clinical leadership, and managing financial performance for client sites.
The Interim CEO will provide administrative oversight to all business, administrative, and executive functions of the hospital, subject to the governing board's policies and ultimate authority. Key duties include developing short and long-range administrative and financial plans, overseeing department heads, and managing contract negotiations.
The Same Day Surgery 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. This includes abstracting and assigning codes for all diagnoses and procedures performed in the outpatient and surgical settings, as well as submitting provider queries to resolve documentation discrepancies.
The Inpatient Coder will review hospital patient medical records to assign accurate diagnostic or procedural codes (ICD-10-CM/PCS, DRGs) for proper reimbursement and compliance. Responsibilities include applying classification standards, submitting provider queries for documentation discrepancies, and performing quality assessments of records.
