Coding Consultant Outpatient - PRN
About The Position
Datavant is seeking experienced, credentialed outpatient coders to join its remote team. The role focuses on outpatient claim edits and requires attention to detail and strong medical terminology knowledge. The position offers a flexible schedule and remote work. The coder reviews medical records, assigns and sequences diagnosis and procedure codes, abstracts coded data, and communicates documentation and coding issues to appropriate personnel. The position also requires maintaining coding and APC accuracy and meeting site productivity standards, keeping professional credentials current, participating in education, and complying with HIM policies and AHIMA’s code of ethics. The role involves communicating with coworkers, management, and hospital staff about clinical and reimbursement issues, and handling complex work and decision-making in a professional, customer-focused manner.
Requirements
- AHIMA credential (RHIA, RHIT, or CCS) or AAPC credential (CPC, CPC-H, COC, CIC, or CRC).
- At least 2 years of coding experience in a hospital and/or coding consulting role.
- At least 3 years of experience with Hospital Billing (HB) claim edits, as stated in the role description.
- Proficiency in most or all of the listed coding specialties: Same Day Surgery, Observation, and Injections/Infusions.
- Proficiency in most or all of the listed coding specialties: Ancillary, Emergency Department, Injections/Infusions, and E/M leveling.
- Strong written and verbal communication skills, ability to work remotely, and exceptional time-management skills.
- Experience with computerized encoding and abstracting software.
- Strong organizational and teamwork skills.
Nice To Haves
- Experience with Parallon, Cerner, and Optum.
- Experience using Microsoft Office, especially Excel.
Responsibilities
- Review medical records and assign accurate codes for diagnoses and procedures.
- Assign and sequence codes based on medical record documentation.
- Assign the appropriate discharge disposition.
- Abstract and enter coded data for hospital statistical and reporting requirements.
- Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution.
- Maintain a 95% coding accuracy rate and a 95% accuracy rate for APC assignment, and meet site-designated productivity standards.
- Track continuing education credits to maintain professional credentials.
- Attend Datavant Health-sponsored education meetings and in-services.
- Demonstrate initiative and judgment in performing job responsibilities.
- Communicate with coworkers, management, and hospital staff regarding clinical and reimbursement issues.
- Perform work professionally, efficiently, and positively; demonstrate customer service, flexibility, dependability, and willingness to learn.
- Comply with the AHIMA code of ethics and all HIM Division policies.
- Complete the annual introductory HIPAA examination and other assigned annual testing.
Benefits
- PRN employees: 401(k) savings plan with match.
- Free CEUs every year.
- Stipend to assist with education and professional dues (AHIMA/AAPC).
- Equipment provided: monitor, laptop, mouse, headset, and keyboard.
- Comprehensive training led by a credentialed professional coding manager.
- Management and mentorship.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
