Outpatient Claim Edits Coder - Datavant | HB Coding

Datavant; United States; Remote; USD 28,000 - 48,000; Full time

Benefits offered by this job

Medical, dental, vision

401(k) with match

Paid time off

Paid holidays

Free CEUs

Education stipend

Equipment provided

Mentorship

Job summary

Datavant is seeking an experienced Outpatient Claim Edits coder to join our remote HB coding team. The role focuses on hospital billing claim edits, APC assignment, and accuracy targets, with equipment provided and a flexible schedule.

Your work will involve reviewing records, assigning codes, and maintaining 95% accuracy while meeting productivity benchmarks. AHIMA/AAPC credentials and 3+ years HB Edits experience are required.

Qualifications

• AHIMA or AAPC credential required or preferred.
• Minimum 2+ years of hospital coding experience.
• Minimum 3 years of HB Claim Edits experience required for this opening.

Responsibilities

• Review medical records and assign accurate codes for diagnoses and procedures.
• Assign and sequence codes based on documentation.
• Maintain a 95% coding accuracy rate and 95% APC accuracy; meet productivity standards.
• Track continuing education credits and participate in training meetings.
• Communicate coding issues to appropriate personnel for follow-up and resolution.

Skills

Attention to detail

Remote work

HIPAA compliance

Education

AHIMA or AAPC credential

2+ years hospital coding experience

Tools

Parallon

Cerner

Optum

Excel

Job description

Outpatient Claim Edits Coder - Datavant | HB Coding — Remote

This Outpatient Claim Edits Coder role at Datavant sits at the intersection of healthcare data and revenue cycle management — a niche that remains in consistent demand as hospitals and health systems navigate complex billing environments.

Compensation: The $20–$35/hr range ($41,600–$72,800 annually) is broadly in line with market rates. Entry-level remote coders typically earn $18–$24/hr; experienced HB Claim Edits specialists with Parallon/Cerner expertise can command $28–$38/hr. The upper end of this range is competitive for fully remote work.

• Hospital Billing (HB) Claim Edits — a specialized, high-value skillset within outpatient coding
• APC (Ambulatory Payment Classification) assignment — critical for outpatient reimbursement accuracy
• Proficiency with Parallon, Cerner, and Optum — industry-standard platforms with broad transferability
• HIPAA compliance and healthcare data governance

Green flags: Free CEUs, an education stipend for AHIMA/AAPC dues, equipment provided, and mentorship from a credentialed coding manager are all strong indicators of a company that invests in coder development. Datavant is a well-funded, growth-stage health data company — this provides relative job stability compared to smaller coding firms.

Watch for: The 95% accuracy rate KPI is standard in the industry but demanding. Productivity benchmarks are site-designated, so expectations may vary by client. The role is specialized enough that it may not offer a clear path into broader health IT or data analytics without additional certifications.

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 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 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 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; meet site-designated productivity standards.
• Track continuing education credits to maintain professional credentials.
• Attend Datavant Health-sponsored education meetings and 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 functions 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.
• Minimum 3 years of experience with Hospital Billing (HB) Claim Edits (required for this specific opening).
• Proficiency with most or all of the following coding specialties: Same Day Surgery, Observation, Injections/Infusions.
• Proficiency with most or all of the following 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 an annual Introductory HIPAA examination and other assigned testing annually.

What We Offer:

• Full-Time employees: Medical, Dental, Vision, 401(k) Savings Plan with match, 2 weeks of paid time off, Paid Holidays, and Floating Holidays.
• PRN employees: 401(k) Savings Plan with match.
• Free CEUs every year.
• Stipend provided to assist with education and professional dues (AHIMA/AAPC).
• Equipment provided: monitor, laptop, mouse, headset, and keyboard.
• Comprehensive training led by a credentialed professional coding manager.
• Exceptional service-style management and mentorship.

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. 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 .

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Is this coding position truly 100% remote? Yes, the role is described as fully remote with a flexible schedule. Datavant provides all necessary equipment including a laptop, monitor, headset, mouse, and keyboard. What certifications are required to apply? You must hold an AHIMA credential (RHIA, RHIT, or CCS) or an AAPC credential (CPC, CPC‑H, COC, CIC, or CRC). Additionally, at least 3 years of Hospital Billing (HB) Claim Edits experience is specifically required for this opening. What is the pay range for this role? The estimated base pay is $20–$35 USD per hour. Final pay may vary based on location, skills, experience, and other role requirements. Is employment sponsorship available for this position? No, this job is not eligible for employment sponsorship. What continuing education support does Datavant offer coders? Datavant provides free CEUs every year and a stipend to help cover education costs and professional dues for AHIMA or AAPC memberships.

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