Outpatient Coder Claim Edits and Denials
About the position Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. 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! Preferred: Facility Outpatient Coder with a specialization in claim edits and denials. Qualified candidates will have 3+ years of coding experience, experience with multispecialty coding, and the ability to consistently meet performance standards. Proficiency with Microsoft applications and the ability to navigate multiple facility systems.
Responsibilities
- 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.
Requirements
- 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
Nice-to-haves
- Facility Outpatient Coder with a specialization in claim edits and denials.
- Qualified candidates will have 3+ years of coding experience, experience with multispecialty coding, and the ability to consistently meet performance standards.
- Proficiency with Microsoft applications and the ability to navigate multiple facility systems.
Benefits
- Medical
- Dental
- Vision
- 401k Savings Plan w/match
- 2 weeks of paid time off
- Paid Holidays
- Floating Holidays
- 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!)
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