Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For: Our coding team is growing, and we need a Lead Coder to join the team to help support our client needs. We're looking for a strong, experienced candidate for this role who possesses high attention to detail/accuracy and a depth of knowledge in medical terminology with extensive hands-on experience with EPIC systems, including configuration, troubleshooting, and workflow optimization. This role is fully remote and has a flexible schedule. What You Will Do:
- Perform daily work queue (WQ) management, ensuring timely and accurate progression of accounts through the coding workflow. Monitor and report daily coding volumes, proactively identifying risks that could impact bill hold deadlines and communicating findings to key stakeholders.
- Claim Edit for coding Resolution
- Denial Review and resolution
- Monitor coding workflow and identify potential bottlenecks.
- Oversee coding schedules and distribute workload within the work queues to ensure balanced assignments among team members and bill hold goals are met within each service.
- Work with the Revenue Cycle Management Department to resolve billing and patient registration issues, ensuring seamless data flow.
- Partner with the Charge Master Team to add new charge codes to the ED preference lists.
- Collaborate with Physician Groups to process requests for new provider enrollments in EPIC.
- Report and collaborate with client leadership to resolve technical workflow issues, including WQ, EPIC, and 3M.
- Report, open and escalate tickets as needed, track outcomes, and communicate resolutions to the coding team.
- Review and address email requests from client staff related to:
- Coding and charge corrections
- Denials and edits
- Hold issues and trauma reviews
- Ensure resolution is communicated effectively to all stakeholders.
- Coordinate access and deactivation requests for client systems as needed.
- Follow up to ensure timely access for new users and deactivate access for those no longer requiring it.
- Provide and communicate access instructions for new users.
- Supervise and delegate coding tasks to a team of medical coders.
- Address coding errors and resolve discrepancies, and process rebills when necessary.
- Facilitate training for coders on coding workflows and/or updates
What You Need to Succeed:
- Extensive hands-on experience with EPIC systems, including configuration, troubleshooting, and workflow optimization.
- Serve as the primary point of contact for EPIC system troubleshooting and resolution, addressing user-reported issues in a timely and efficient manner.
- Be able to analyze, diagnose, and resolve system errors, workflow inefficiencies, and integration challenges within EPIC.
- High School Diploma or GED required.
- Coding Certification from the American Health Information Management Association (AHIMA) required. Preferred: RHIA, RHIT, CCS - AHIMA credentials
- Three to Five (3-5) years of coding experience
- For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions.
What Helps You Stand Out:
- Previous supervisory/team lead experience
- Associate or bachelor's degree in health information management or any Healthcare Related Field A+
- Effective oral and written communication skills
- Strong knowledge of ICD 10 CM, PCS and/or CPT
- Strong analytical skills to interpret data
- Strong knowledge of human anatomy, medical terminology, and surgical terminology
- Strong critical thinking skills and decision-making skills
- Strong knowledge of coding compliance policies, coding guidelines for multiple specialties, and insurance payor policies
- Education/Training experience is a plus
What We Offer:
- Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays
- Free CEUs every year
- Stipend provided to assist with education and professional dues (AHIMA/AAPC)
- Equipment: monitor, laptop, mouse, headset, and keyboard
- Comprehensive training led by a credentialed professional coding manager
- Exceptional service-style management and mentorship (we're in this together!)
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$35
—
$45 USD
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 working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
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