Coding Consultant

This is a fully remote position, open to applicants in United States.

📋 Description

• Examine medical records and accurately assign diagnosis and procedure codes.

• Sequence and assign codes in accordance with medical record documentation.

• Determine the appropriate discharge disposition.

• Abstract and input coded data for hospital statistical and reporting purposes.

• Identify and communicate opportunities for documentation improvement and coding issues for follow-up and resolution.

• Maintain a coding accuracy rate of 95% and a 95% accuracy in APC assignment.

• Achieve site-specified productivity standards.

• Monitor continuing education credits to uphold professional credentials.

• Participate in education meetings and in-services sponsored by Datavant Health.

• Engage with co-workers, management, and hospital staff regarding clinical and reimbursement matters.

• Manage high-complexity tasks and make informed decisions.

• Comply with AHIMA’s code of ethics and HIM Division policies.

• Deliver professional, efficient, and positive customer-service-oriented work.

• Collaborate effectively through strong organizational skills and teamwork.

• Datavant offers healthcare data collaboration solutions for providers, health plans, researchers, and life sciences companies.

⛳️ Requirements

• Must be an experienced and credentialed outpatient coder.

• Over 2 years of multispecialty outpatient coding experience for the primary specialty.

• At least 3 years of experience in an academic medical center, including Level 1 Trauma, for SDS/OBS coding.

• Commitment to working 40 hours per week, Monday–Friday during standard business hours for diagnostic ancillary coding.

• 5+ years of ED coding experience for the ED coder specialty.

• CCS certification required for the ED coding specialty.

• 5+ years of outpatient same-day surgery/observation coding experience for the OP SDS/OBS specialty.

• CCS certification required for the OP SDS/OBS specialty.

• AHIMA credentials: RHIA, RHIT, or CCS; or AAPC credentials: CPC, CPC-H, COC, CIC, or CRC.

• Minimum of 2 years of coding experience in a hospital and/or coding consulting position.

• Expertise in Same Day Surgery, Observation, Injections/Infusions, Ancillary, Emergency Department, and E/M leveling coding specialties.

• Preferred experience with facility ED, injections/infusions, ancillary services, recurring therapy services, denials, NCCI edits, medical necessity, and claim edits.

• Familiarity with EPIC, 3M, PowerChart, Dolbey Fusion, Trucode, Cerner/3M360, and 3M/Solventum as relevant to the specialty.

• Experience coding diagnostic ancillary services, Radiology (including mammograms), and Maternity diagnosis coding.

• Ability to code both SDS and OBS and knowledge of Rev Code assignment for surgeries.

• Strong written and verbal communication skills.

• Proficient in remote work with exceptional time management abilities.

• Experience with computerized encoding and abstracting software.

• Must successfully complete the annual Introductory HIPAA examination and other assigned annual tests.

• Required to maintain professional credentials and track continuing education credits.

• This position is not eligible for employment sponsorship.

🏝️ Benefits

• Medical, Dental, Vision coverage.

• 401k Savings Plan with matching contributions.

• Two weeks of paid time off.

• Paid Holidays.

• Floating Holidays.

• Complimentary CEUs every year.

• Stipend available to support education and professional dues (AHIMA/AAPC).

• Provided equipment: monitor, laptop, mouse, headset, and keyboard.

• Comprehensive training conducted by a credentialed professional coding manager.

• Exceptional service-oriented management and mentorship.

• Flexible scheduling options.

• Sign-on bonus of $1,000/$1,500 based on specialty.