[Hiring] Outpatient Coding Consultant @Datavant

Role Description

We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. We are looking for a Surgery and Observation coder with 3+ years of experience that can also validate CPT codes for precertification of same-day/outpatient surgical procedures. Surgery expertise includes, but is not limited to:

• General Surgery
• Ortho
• Neuro
• Spinal
• Nephrology
• Endoscopy
• Cath Lab
• EP Studies
• Vascular
• Cardiology
• Interventional Radiology

Prior experience performing precertification reviews and validating CPT codes for prior authorization is a plus. Observation experience should include:

• Injections & Infusions
• Bedside procedures
• OBS time carve outs (as a plus)

Experience in EPIC and 3M/Solventum required. Interventional radiology experience required and CIRCC or RCCIR credential a plus.

The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace!

What You Will Do:

• Review medical records and assign accurate codes for diagnoses and procedures.
• Assign and sequence codes accurately based on medical record documentation.
• Assign the appropriate discharge disposition.
• Abstract and enter the 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.
• Be responsible for tracking continuing education credits to maintain professional credentials.
• Attend Datavant Health sponsored education meetings/in-services.
• Demonstrate initiative and judgment in the performance of job responsibilities.
• Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues.
• Function in a professional, efficient, and positive manner.
• Adhere to the American Health Information Management Association’s code of ethics.
• Be customer-service focused and exhibit professionalism, flexibility, dependability, and a desire to learn.
• Handle a high complexity of work function and decision-making.
• Possess strong organizational and teamwork skills.
• Comply with all HIM Division Policies.

Qualifications

• AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC).
• Experience in Interventional Radiology.
• 2+ years of coding experience in a hospital and/or coding consulting role.
• Proficiency with most or all of these coding specialties (Same Day Surgery, Observation, Injections/Infusions).
• Proficiency with most or all of these coding specialties (Ancillary, Emergency Department, Injections/Infusions, E/M leveling).
• Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills.
• Experience in computerized encoding and abstracting software.
• Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually.

Benefits

• Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays.
• Benefits for PRN employees: 401k savings plan w/match.
• Free CEUs every year.
• Stipend provided to assist with education and professional dues (AHIMA/AAPC).
• Equipment: monitor, laptop, mouse, headset, and keyboard.
• Comprehensive training led by a credentialed professional coding manager.
• Exceptional service-style management and mentorship.