Coding Consultant Outpatient - PRN - Billing/Edits/Denials

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 in need of an 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.

• 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 
• 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 (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.