Profee Coding Consultant; E​/M Leveling, Cardiology & Mammography

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.

Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care.

By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavant brings a diversity of professional, educational and life experiences to realize our bold vision for healthcare.

The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding healthcare professionals on improved coding practices. Collaborating closely with key stakeholders such as clients and healthcare leaders, you'll meet and exceed customer expectations through identifying and proposing solutions, and being a responsible and reliable teammate.

This role offers a unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance, and optimizing service outcomes in both hospitals and alternative care settings.

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

• 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.

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

• Full Benefits including a 401k Savings Plan
• Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development
• Compensation for AAPC/AHIMA dues
• Company-provided equipment including computer, monitor, mouse, etc
• Comprehensive training led by a credentialed professional coding manager
• Exceptional service-style management and mentorship (we’re in this together!)

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…