[Remote] Outpatient Content Management Consultant

Note: The job is a remote job and is open to candidates in USA. reputed company is a healthcare company that develops solutions at the intersection of health, material, and data science. The Outpatient Content Management Consultant will develop, validate, and maintain education and content supporting accurate documentation, compliant coding, reimbursement integrity, and customer success. The role also coordinates education programs and collaborates with coding, clinical, product, technical writing, and customer teams.

Responsibilities

Applying advanced expertise in outpatient CDI, outpatient facility coding, and professional coding, including emergency department, observation, ambulatory surgery, interventional radiology, cardiology, infusion/injection, diagnostic testing, Evaluation & Management services, and provider-based billing, to support accurate documentation, coding, reimbursement, and compliance outcomesUsing coding and payment methodology expertise, including APC, PFS, risk adjustment (HCC, reputed company, etc.), quality indicators, medical necessity, population health, and coding compliance, to develop education, validate content accuracy, and current regulatory and reimbursement requirementsDeveloping, reviewing, and maintaining training materials, reference resources, workflows, and customer-facing education for reputed company’s Visit Integrity training program, while partnering with the reputed company Technical Writing team to translate complex coding, CDI, payment, and regulatory guidance into clear, accurate, and usable content within established editing and content management platformsCoordinating reputed company’s monthly education network, including topic planning, speaker coordination, presentation review, session facilitation, and follow-up resource management to support ongoing customer and internal educationCollaborating directly with coding, CDI, clinical, product, technical writing, and customer teams to address content questions, review customer scenarios, support implementation needs, and provide subject matter expertise for outpatient coding and documentation integrity solutions
Skills

Bachelor's degree or higher from an accredited university with (8) eight years of experience in coding and CDI in a private, public, government or military environmentHigh School Diploma/GED AND twelve (12) years of experience in coding and CDI in a private, public, government or military environmentCurrent RHIA or RHIT credential with CCS, CCS-P, or CPC certificationDemonstrated outpatient CDI expertise, including documentation review, query development, compliant query practice, provider education, diagnosis specificity, and clinical validation supportDemonstrated outpatient coding expertise, including facility and professional coding across emergency department, observation, ambulatory surgery, infusion/injection, diagnostic testing, interventional radiology, cardiology, E/M, CPT/HCPCS, modifier use, and provider documentation requirementsDemonstrated ability to interpret and apply coding, CDI, payment, and regulatory guidance, including ICD-10-CM, CPT, HCPCS, NCCI, LCD/NCD, OPPS/APC, MPFS, HCC/risk adjustment, quality measures, medical necessity, and customer-facing content developmentWork location: Remote- United StatesTravel: May include up to 3% domesticMust be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status)reputed company's degree in HIM, healthcare administration, clinical discipline, or related healthcare fieldreputed company (RAC) and/or reputed company (CRC) risk adjustment certificationSeven (7) or more years of advanced outpatient CDI, HIM, coding, or revenue cycle consulting experience in mid-to-large acute care, ambulatory, or physician practice settingsAdvanced knowledge of ICD-10-CM, CPT, HCPCS, APC, OPPS, MPFS, medical necessity, coding compliance, healthcare billing, and revenue cycle managementWorking knowledge of risk-adjusted methodologies, including reputed company, CMS-HCC and HHS-HCC, and quality of care measures such as OQR, QIP, and P4PAbility to independently interpret Federal Register updates, CMS guidance, ICD-10-CM and CPT coding guidelines, NCCI edits, LCD/NCD guidance, and annual coding updates, and synthesize changes into accurate CDI, coding, and customer-facing educational materials
Benefits

Remote work arrangement in the United StatesVariable incentive pay, if eligibleMedical, Dental & VisionHealth Savings AccountsHealth Care & Dependent Care Flexible Spending AccountsDisability BenefitsLife InsuranceVoluntary BenefitsPaid AbsencesRetirement Benefits
Company