The Credentialing Specialist is responsible for completing the initial credentialing and re-credentialing process for network providers across various lines of business, while maintaining and ensuring the accuracy of the credentialing database. This role involves performing primary verification of provider qualifications and communicating with internal staff and external providers regarding credentialing matters.

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.

Inpatient Coder reviewing medical records for accurate coding at Ovation Healthcare

Outpatient Coder I translating health care services into codes at ProMedica