Coding Consultant Outpatient

We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. 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!  

We are looking for the following experiences/skills:

1. strong ED coder with 5+ years' experience. The ideal candidate will have experience in facility E/M leveling, injections/infusions, and bedside procedures. CCS Required and experience in EPIC and 3M/Solventum required as well.
2. experienced Outpatient Same-Day Surgery/Observation (OP SDS/OBS) coder with a minimum of two years of relevant coding experience. A current CCS certification is required, along with experience using Epic and 3M. Experience reviewing and clearing coding edits would be helpful.
3. ED/Ambulatory Surgical coder for Level III trauma facility for 15-20 hours/week. Required experience in facility ED E/M leveling, injections and infusions, ortho, urology, pain management, cardiology GI procedures, and endos. Interventional radiology a plus but not required.
4. Observation coder with extensive injection and infusion experience. Academic or trauma level 1 experience preferred. Carving out experience preferred but not required. Surgery coding experience would be very helpful 
5. Outpatient Same-Day Surgery/Observation (OP SDS/OBS) with 3+ years of experience. Surgery expertise includes, but not limited to, General Surgery, Ortho, Plastics and Reconstruction, including breast reconstruction, revision, augmentation, mastectomy, Otolaryngology, Spinal fusions and injections, Cardiology including pacemakers, Transesophageal Echocardiogram, Interventional Radiology, OB/Gyne, Nephrology, Endoscopy, US guidance, and Robotic Procedures. Must be able to code both SDS and OBS and be familiar with Rev Code assignment for surgeries. No injections and infusions or OBS time carveouts. CCS required and experience with EPIC/3M required as well.
6. Outpatient Coder with expertise in Emergency Department (ED), I&I, procedures, modifiers, and facility leveling coding. Minimum of 3+ years of outpatient coding with experience. Experience with Epic and Clintegrity strongly preferred.
7. Outpatient Claim Edits coder. A minimum of 3 years of experience with Hospital Billing(HB) Claim edits is a requirement. Experience with Parallon, Cerner, and Optum would benefit a candidate in this role. Additionally, experience with use of Microsoft Office suite, primarily excel is a plus.

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.

What You Need to Succeed: 

• AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC).
• 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
• Experience in computerized encoding and abstracting software

What We Offer:

• 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 
• Equipment: monitor, laptop, mouse, headset, and keyboard
• Comprehensive training led by a credentialed professional coding manager 
• Exceptional service-style management and mentorship (we’re in this together!)

Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. 

The estimated base pay range per hour for this role is: 20 - 35 USD