Remote Outpatient Coding Audit Specialist

Datavant; Providence (RI); Remote; USD 48,000 - 62,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401k with match

Paid time off

Paid holidays

Free CEUs

Education stipend

Equipment provided

Job summary

Datavant is seeking an Outpatient Auditing Specialist to address coding quality, compliance assessments, and external payer reviews. This fully remote role offers a flexible schedule and the chance to help shape healthcare data integrity from your own workspace.

You will perform audits using ICD-10-CM, CPT, and modifiers, provide clear rationale for changes, stay current with regulatory updates, and educate coders throughout the auditing process.

Qualifications

• 5+ years of outpatient facility coding experience and/or auditing.
• CCS or RHIA/RHIT required.
• Maintains 95% accuracy rate.
• Experience with various software including Epic, Cerner, and other prevalent EMRs.

Responsibilities

• Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment.
• Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc
• Keeps abreast of regulatory changes
• Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution
• Provides coder education via the auditing process
• Function in a professional, efficient and positive manner
• Adhere to the AHIMA’s code of ethics
• Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
• High complexity of work function and decision making
• Strong organizational, teamwork, and leadership skills

Job description

Datavant is seeking an Outpatient Auditing Specialist to address coding quality, compliance assessments, and external payer reviews. This fully remote role offers a flexible schedule and the chance to help shape healthcare data integrity from your own workspace.

You will perform audits using ICD-10-CM, CPT, and modifiers, provide clear rationale for changes, stay current with regulatory updates, and educate coders throughout the auditing process.