Coding Consultant – Outpatient, PRN, Billing/Edits/Denials

🕒 6 days ago

🇺🇸 United States – Remote

💵 $20 - $35 / hour

⏱ Part Time

🟡 Mid-level

🟠 Senior

💼 Consultant

Where this job comes from

Posted on Datavant's careers page, not through a job board

First seen by Remote Rocketship 6 days ago

Still open on Datavant's site. Checked 3 hours ago.

Logo of Datavant

Datavant

201 - 500 employees

Founded 2017

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

💰 $40M Series B on 2020-10

Healthcare • Consulting • Healthcare Insurance

Datavant is a company that provides a platform and network focused on making health data secure, accessible, and usable across the healthcare ecosystem. With a focus on data connectivity and interoperability, Datavant facilitates the movement of healthcare records across a vast network of organizations, including hospitals, clinics, health systems, and data partners. Their suite of products and solutions covers areas such as health data exchange, data transformation, and privacy compliance, serving various clients including health plans, healthcare providers, life sciences, and government organizations. Datavant's mission is to advance human health through improved data exchange and analytics.

📋 Description

• 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 for follow-up and resolution • Maintain 95% coding accuracy and 95% accuracy for APC assignment while meeting productivity standards • Track continuing education credits to maintain professional credentials • Attend Datavant Health-sponsored education meetings and in-services • Communicate with coworkers, management, and hospital staff about clinical and reimbursement issues • Handle high-complexity work functions and decision-making • Comply with HIM Division policies and AHIMA’s code of ethics • Provide professional, efficient, customer-service-focused support

🎯 Requirements

• AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC) • Minimum 3 years of experience with Hospital Billing (HB) Claim edits • 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 annual testing • Experience with Parallon, Cerner, and Optum would benefit a candidate • Experience using Microsoft Office suite, primarily Excel, is a plus • Must be eligible to work in the United States; job is not eligible for employment sponsorship • May be subject to post-offer health screenings and proof and/or completion of vaccinations

🏖️ Benefits

• 401k savings plan w/match for PRN employees • 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 • Full-time employee benefits listed: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, Paid Holidays, Floating Holidays

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