Coding Consultant – Outpatient

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

📋 Description

• Evaluate medical records and assign precise codes for diagnoses and procedures.

• Accurately assign and sequence codes based on the documentation provided in medical records.

• Determine the correct discharge disposition.

• Abstract and input coded data to satisfy hospital statistical and reporting requirements.

• Identify and communicate documentation improvement opportunities and coding issues to the relevant personnel for follow-up and resolution.

• Maintain a coding accuracy rate of 95% and an accuracy rate of 95% for APC assignment while meeting site-designated productivity standards.

• Monitor continuing education credits to uphold professional credentials.

• Participate in Datavant Health-sponsored educational meetings and in-services.

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

• Manage a complex workload and engage in decision-making processes.

• Adhere to all HIM Division Policies and the American Health Information Management Association's code of ethics.

• Operate in a professional, efficient, and positive manner while delivering customer-focused service.

⛳️ Requirements

• AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC) are required.

• A minimum of 3 years of experience with Hospital Billing (HB) Claim edits is essential.

• 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, Injections/Infusions.

• Proficiency in most or all of these coding specialties: Ancillary, Emergency Department, Injections/Infusions, E/M leveling.

• Strong written and verbal communication skills, capability for remote work, and outstanding time management abilities.

• Experience with computerized encoding and abstracting software is necessary.

• Required to successfully complete the annual Introductory HIPAA examination and other assigned annual testing.

• Familiarity with Parallon, Cerner, and Optum would be advantageous for candidates in this position.

• Experience with the Microsoft Office suite, particularly Excel, is a plus.

• This position is not eligible for employment sponsorship.

🏝️ Benefits

• Benefits for PRN employees include a 401k savings plan with a match.

• Complimentary CEUs provided each year.

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

• Provided equipment includes a monitor, laptop, mouse, headset, and keyboard.

• Comprehensive training conducted by a credentialed professional coding manager.

• Exceptional service-style management and mentorship, emphasizing teamwork.

• Benefits for Full-Time employees encompass Medical, Dental, Vision, a 401k Savings Plan with a match, 2 weeks of paid time off, Paid Holidays, and Floating Holidays.