Coding Consultant Outpatient - PRN - Billing/Edits/Denials
About The Position
Datavant is seeking experienced and credentialed outpatient coders for a fully remote, PRN role focused on outpatient claim edits. The work requires strong attention to detail, medical terminology knowledge, and experience with hospital billing claim edits. A flexible schedule allows the consultant to work remotely. Experience with Parallon, Cerner, and Optum is beneficial, as is experience with Microsoft Office, particularly Excel. The consultant reviews medical records and assigns accurate diagnosis and procedure codes, sequences codes based on documentation, assigns discharge dispositions, and abstracts coded data for hospital statistics and reporting. The role also involves communicating documentation-improvement opportunities and coding issues, maintaining specified accuracy and productivity standards, tracking continuing education, and participating in sponsored education sessions. Consultants communicate with coworkers, management, and hospital staff about clinical and reimbursement issues; follow HIM policies and AHIMA ethical standards; and deliver professional, customer-focused work.
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.
- 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.
- Ability to handle complex work and decision-making, with strong organizational and teamwork skills.
Nice To Haves
- Experience with Parallon, Cerner, and Optum.
- Experience with Microsoft Office, particularly 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, while meeting 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.
- Work in a professional, efficient, and positive manner; demonstrate customer service, flexibility, dependability, and a desire to learn.
- Adhere to the American Health Information Management Association’s code of ethics and comply with HIM Division policies.
- Complete the annual introductory HIPAA examination and other assigned annual testing.
Benefits
- PRN employees are eligible for a 401(k) savings plan with employer match.
- Free continuing education units (CEUs) each 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.
- Service-oriented management and mentorship.
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What This Job Offers
Career Level
Mid Level
Education Level
No Education Listed
