Remote Outpatient Claims Edits Specialist

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

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.