Coding Consultant Outpatient - PRN
About The Position
Datavant is seeking experienced and credentialed outpatient coders to support healthcare organizations. This fully remote PRN role offers a flexible schedule and involves coding across outpatient specialties, including emergency department, same-day surgery, observation, injections and infusions, and claim edits. Candidates may be matched to work requiring specific specialty expertise and systems experience. The coder reviews medical records, assigns and sequences diagnosis and procedure codes, assigns discharge dispositions, and abstracts coded data for hospital statistical and reporting requirements. The role also includes communicating documentation improvement opportunities and coding issues, maintaining required accuracy and productivity standards, tracking continuing education credits, participating in education meetings, and communicating with colleagues, management, and hospital staff about clinical and reimbursement issues. The position requires adherence to AHIMA’s code of ethics and HIM Division policies, sound judgment, professionalism, customer focus, flexibility, dependability, and strong organization and teamwork. The position is remote. PRN employees are offered a 401(k) savings plan with matching. Datavant provides equipment including a monitor, laptop, mouse, headset, and keyboard, as well as comprehensive training led by a credentialed professional coding manager and management and mentorship.
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.
- Proficiency in most or all of the following coding specialties: Same Day Surgery, Observation, and Injections/Infusions.
- Proficiency in most or all of the following coding specialties: Ancillary, Emergency Department, Injections/Infusions, and E/M leveling.
- Strong written and verbal communication skills, aptitude for remote work, and exceptional time-management skills.
- Experience with computerized encoding and abstracting software.
- Pass the annual Introductory HIPAA examination and other assigned annual testing.
- For the ED coder work: at least 5 years of experience as a strong ED coder; CCS certification; experience with facility E/M leveling, injections/infusions, bedside procedures, Epic, and 3M/Solventum.
- For OP SDS/OBS work: at least 2 years of relevant coding experience and current CCS certification; experience with Epic and 3M.
- For ED/Ambulatory Surgical coding at a Level III trauma facility: experience in facility ED E/M leveling, injections and infusions, orthopedics, urology, pain management, cardiology GI procedures, and endoscopies.
- For Observation coding: extensive injection and infusion experience.
- For OP SDS/OBS work requiring surgery expertise: at least 3 years of experience; ability to code both SDS and OBS; familiarity with revenue code assignment for surgeries; CCS certification; and experience with Epic and 3M.
- For outpatient ED coding: at least 3 years of outpatient coding experience, with expertise in ED, injections and infusions, procedures, modifiers, and facility leveling.
- For outpatient claim edits coding: at least 3 years of Hospital Billing (HB) claim edits experience.
Nice To Haves
- Experience reviewing and clearing coding edits.
- Interventional radiology experience for ED/Ambulatory Surgical coding.
- Academic or Level I trauma experience for Observation coding.
- Carving-out experience for Observation coding.
- Surgery coding experience for Observation coding.
- Experience with Epic and Clintegrity for outpatient ED coding (strongly preferred).
- Experience with Parallon, Cerner, or Optum for outpatient claim edits.
- Microsoft Office experience, particularly Excel, for outpatient claim edits.
- Additional OP SDS/OBS surgery expertise in general surgery, orthopedics, plastics and reconstruction (including breast reconstruction, revision, augmentation, and mastectomy), otolaryngology, spinal fusions and injections, cardiology (including pacemakers and transesophageal echocardiograms), interventional radiology, OB/Gyne, nephrology, endoscopy, ultrasound guidance, and robotic procedures.
Responsibilities
- Review medical records and assign accurate diagnosis and procedure codes.
- 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 95% coding accuracy and 95% accuracy 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 co-workers, management, and hospital staff regarding clinical and reimbursement issues.
- Perform work professionally, efficiently, and positively; provide customer-focused service and demonstrate flexibility, dependability, and willingness to learn.
- Handle complex work functions and decision-making.
- Comply with the AHIMA code of ethics and all HIM Division policies.
Benefits
- PRN employees: 401(k) savings plan with matching.
- Equipment provided: monitor, laptop, mouse, headset, and keyboard.
- Comprehensive training led by a credentialed professional coding manager.
- Management and mentorship.
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Education Level
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