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Datavant · 3 days ago

Profee Coding Consultant (E/M Leveling, Cardiology & Mammography)

United States

Full-time

Remote

Entry Level

1+ years exp

Datavant is a data platform company specializing in health data exchange, aiming to empower healthcare decisions with accurate data. The Provider Practice Coding Consultant will provide consulting services and educational support to healthcare professionals, ensuring compliance and optimizing coding practices in medical coding, specifically related to E/M leveling, Cardiology, and Mammography.

BiopharmaClinical TrialsData IntegrationHealth CareSoftware

No H1B

Responsibilities

Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS)

Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines

Communicate professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues

Demonstrate strong written and verbal communication skills

Identify documentation improvement opportunities and coding issues

Use VPN access to ensure productive and flexible task completion

Uphold Datavant and HIM Division policies, promoting a culture of compliance and operational efficiency

Track continuing education credits, maintaining a high standard of professional expertise

Attend mandatory sponsored in-service and educational meetings, ensuring alignment with industry best practices for continual improvement

Adhere to the American Health Information Management Association's code of ethics, upholding professional standards and integrity

Qualification

E/M levelingCardiology codingMammography codingAHIMA certificationCPT codingICD-10 codingData quality reviewAnalytical skillsCompliance knowledgeCommunication skillsTime management

Required

1+ year of coding experience

AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)

Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills

Experience in computerized encoding and abstracting software

Claim edit experience is required; Must be proficient in resolving claim edits related to E/M leveling, Cardiology, and Mammography

Detail-oriented professional with strong analytical skills, capable of identifying and resolving complex coding edits efficiently and accurately to ensure timely and compliant claim processing

Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually