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Medical Coder Profee Jobs in New Mexico (NOW HIRING)

Datavant

Profee Coding Consultant - PRN

Santa Fe, NM · On-site

$20 - $28/hr

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 ...

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Medical Coder Profee information

What is a Medical Coder Profee?

A Medical Coder Profee, short for professional fee coder, is a healthcare professional who specializes in translating physicians' and other providers' clinical documentation into standardized medical codes for billing and reimbursement purposes. They primarily work with professional services, such as those provided by doctors in outpatient settings, as opposed to facility services. Medical Coder Profee professionals ensure that the correct codes are used to reflect diagnoses, procedures, and services, which helps healthcare providers receive appropriate payment and comply with healthcare regulations.

What are the key skills and qualifications needed to thrive as a Medical Coder Profee?

To thrive as a Medical Coder Profee, you need a solid understanding of medical terminology, anatomy, and coding guidelines, typically demonstrated by certification such as CPC or CCS-P. Familiarity with coding software, electronic health records (EHRs), and regulatory coding systems like ICD-10-CM and CPT is crucial. Attention to detail, analytical thinking, and strong organizational skills are vital soft skills for accuracy and productivity. These skills and qualifications are essential to ensure precise coding, compliance, and optimal reimbursement for healthcare providers.

What are some common challenges Medical Coder Profee professionals face when coding for physician services?

Medical Coder Profee professionals often encounter challenges such as interpreting complex medical documentation, staying updated with frequent changes in coding guidelines (like CPT, ICD-10, and HCPCS), and accurately linking diagnoses with procedures for physician services. Additionally, they may need to resolve discrepancies between clinical notes and coding requirements or clarify documentation with providers to ensure compliant and optimal reimbursement. Effective communication skills and a detail-oriented approach are essential to overcoming these challenges and maintaining accuracy in coding assignments.

What is the difference between Medical Coder Profee vs Medical Coder Hospital?

AspectMedical Coder ProfeeMedical Coder Hospital
Work EnvironmentOutpatient clinics, physician officesHospital inpatient and outpatient departments
CertificationsTypically CPC, CCS, or similarSame certifications as Profee, often with additional hospital coding credentials
Employer & Industry UsagePhysician practices, outpatient clinicsHospitals, healthcare systems
Work Focus outpatient procedures, physician billingInpatient and outpatient hospital coding

Medical Coder Profee primarily works in outpatient settings like physician offices, focusing on outpatient procedures and billing. In contrast, Medical Coder Hospital works within hospital environments, handling inpatient and outpatient coding. Both roles require similar certifications, but their work environments and focus areas differ significantly.

Are medical coders still in demand?

Medical coders, including those in the Profee specialty, are in steady demand due to ongoing healthcare industry needs for accurate billing and coding. The role requires knowledge of coding systems like ICD-10 and CPT, and employment opportunities are expected to grow with the expansion of healthcare services and electronic health records.

Which medical coder profee position pays the most?

Among medical coding roles, Profee (professional fee) coding positions often pay higher salaries compared to facility-based coding due to the specialized knowledge required for outpatient and physician billing. Senior coders with certifications like CPC or CCS and extensive experience tend to earn the highest wages in this field. Salary can also vary based on location, employer, and workload complexity.
Medical Coder Profee jobs near you

Profee Coding Consultant - PRN

Santa Fe, NM • On-site

Datavant
Software Development • 51 - 200 employees
Learn more about Datavantexternal

$20 - $28/hr

Other

Retirement

Re-posted 6 days ago

Datavant rating

7.1

Company rating: 7.1 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

151st of 227 rated it services

Job description

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:

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.

What You Will Do:

  • 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.

What You Need to Succeed:

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

  • Experience working in a process-driven, high-volume coding environment; Strong knowledge of CPT II codes

  • Demonstrated ability to meet productivity and performance standards

  • 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

What We Offer:

  • 401k Savings Plan

  • 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!)

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:

$20—$28 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 (https://www.datavant.com/eeo-commitment-statement) . Know Your Rights (https://www.eeoc.gov/know-your-rights-workplace-discrimination-illegal) , 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.

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (https://peopleteam.datavant.com/portal/en/newticket?departmentId=248697000248790029&layoutId=248697000248795462) by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (https://app.tango.us/app/workflow/Greenhouse--Locating-Requisition-ID-2c7d618c8a8a423da4330ff12330695e) . Requests for reasonable accommodations will be reviewed on a case-by-case basis.

For more information about how we collect and use your data, please review our Privacy Policy (https://www.datavant.com/privacy-policy) .

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