Outpatient Coding Consultant

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.

********FULL-TIME SIGN ON BONUS $3000********
********PRN SIGN ON BONUS $1500********

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

We are looking for a Surgery and Observation coders with 3+ years of experience that can also validate CPT codes for precertification of same-day/outpatient surgical procedures. Surgery expertise includes, but not limited to, General Surgery, Ortho, Neuro, Spinal, Nephrology and Endoscopy, Cath Lab, EP Studies, Vascular, Cardiology, and Interventional radiology. Prior experience performing precertification reviews and validating CPT codes for prior authorization a plus. Observation experience should include injections & Infusions, bedside procedures and as a plus, OBS time carve outs as well. Experience in EPIC and 3M/Solventum required. Interventional radiology experience required and CIRCC or RCCIR credential a plus. 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!  

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.