Datavant
Coding Consultant Outpatient - PRN - Billing/Edits/Denials at Datavant
$20–$35 / hour
Apply for this positionRole overview
An at-a-glance view of the facts included with this Coding Consultant Outpatient - PRN - Billing/Edits/Denials at Datavant listing.
- Company
- Datavant
- Location
- Remote, United States
- Work arrangement
- Remote
- Employment type
- Full-time
- Compensation
- $20–$35 / hour
Applications for this listing are submitted through CareersForge. Use the form on this page, then sign in to your Candidate Portal to follow application updates and any interview invitation.
Role overview
This job description has been rewritten in fresh language using the facts in the listing. Source credit and original listing details are available below.
Datavant is hiring a remote Outpatient Claim Edits coder in the United States. The role is described as PRN, while the listing gives the employment type as full-time. The schedule is flexible. The work focuses on reviewing outpatient records, coding diagnoses and procedures, and addressing claim edits and related documentation issues.
The listed hourly base-pay range is $20–$35; actual pay may vary with location, responsibilities, skills, experience, and other role requirements. Full-time benefits include medical, dental, and vision coverage, a 401(k) savings plan with match, two weeks of paid time off, paid holidays, and floating holidays. PRN benefits include a 401(k) savings plan with match. The listing also describes annual free CEUs, an education and professional-dues stipend, supplied equipment (monitor, laptop, mouse, headset, and keyboard), and training and mentorship.
The role is not eligible for employment sponsorship. Some client sites may require post-offer health screenings and vaccination proof or completion; exemption requests are reviewed case by case, with availability depending on the state and applicable circumstances.
Role at a glance: Remote outpatient claim-edits coding role with a listed pay range of $20–$35 per hour and a requirement for at least three years of hospital-billing claim-edits experience.
Responsibilities mentioned in the listing
- Review medical records and accurately assign and sequence diagnosis and procedure codes, including the appropriate discharge disposition.
- Abstract and enter coded data for hospital statistics and reporting.
- Report documentation improvement opportunities and coding issues to appropriate staff for follow-up and resolution.
- Maintain 95% coding accuracy and 95% accuracy in APC assignment, while meeting site productivity standards.
- Track continuing education credits needed to maintain professional credentials and attend Datavant Health education meetings and in-services.
- Communicate with coworkers, management, and hospital staff about clinical and reimbursement matters.
- Follow AHIMA’s Code of Ethics and HIM Division policies, and carry out the work professionally, efficiently, and with initiative and sound judgment.
Qualifications stated in the listing
- At least three years of experience with hospital-billing (HB) claim edits.
- At least two years of coding experience in a hospital and/or coding-consulting role.
- An AHIMA credential (RHIA, RHIT, or CCS) or an AAPC credential (CPC, CPC-H, COC, CIC, or CRC).
- Proficiency in most or all of these areas: same-day surgery, observation, injections/infusions, ancillary services, emergency department, and E/M leveling.
- Experience with computerized encoding and abstracting software.
- Strong written and verbal communication, remote-work readiness, and time-management skills.
- Ability to take and pass the annual introductory HIPAA examination and other assigned annual tests.
- Experience with Parallon, Cerner, and Optum is beneficial; Microsoft Office experience, especially Excel, is a plus.
Full details from the source listing
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! 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.
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.
- 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.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$20—$35 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy.
