Remote Outpatient Coding Auditor (CCS/RHIA)

Datavant; Boston (MA); Remote; USD 48,000 - 62,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401k with match

Paid time off and holidays

Free CEUs yearly

Education stipend for AHIMA/AAPC

Equipment: monitor, laptop, headset

Job summary

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

You will audit outpatient facility records using ICD-10-CM, CPT, and HCPCS, providing rationale and references, while staying current with regulatory changes and mentoring others.

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 American Health Information Management Association (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

Skills

Outpatient coding experience

Auditing

95% accuracy

EMR software experience

Education

CCS or RHIA/RHIT

Tools

Epic

Cerner

Job description

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

You will audit outpatient facility records using ICD-10-CM, CPT, and HCPCS, providing rationale and references, while staying current with regulatory changes and mentoring others.