Senior Outpatient Consultant

Thank you for your interest in working for our Company. Recruiting the right talent is crucial to our goals. On April 1, 2024, 3M Healthcare underwent a corporate spin-off leading to the creation of a new company named Solventum. We are still in the process of updating our Careers Page and applicant documents, which currently have 3M branding. Please bear with us. In the interim, our Privacy Policy here: https://www.solventum.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ continues to apply to any personal information you submit, and the 3M-branded positions listed on our Careers Page are for Solventum positions. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Job Description:

Senior Outpatient Consultant (Solventum)

3M Health Care is now Solventum

At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.

We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.

The Impact You’ll Make in this Role
 

The person hired for the position of outpatient coding audit consultant will have a passion for imparting their knowledge and expertise in outpatient coding (ICD-10-CM and CPT-4/HCPCS,) APC methodology, facility E/M level assignment, Medicare billing/reporting guidelines (e.g., LCD, NCD, modifiers,) risk adjustment, quality metrics, clinical documentation integrity and coding compliance, to both their customers and their internal team members as well as providing innovative solutions to solve customers’ business opportunities. The person hired will be involved in coding and documentation audits on outpatient facility records, delivery of results, recommendations to customers, program implementations and customer education.  The ideal candidate will be expected to work directly and/or collaborate with both internal and external customers.

As an outpatient coding audit consultant, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by:

• Leading client audit engagements

• Conducting outpatient coding audits

• Identifying and recommending opportunities for customer improvements

• Interacting with and educating external and internal customers on outpatient coding and documentation related topics

Your Skills and Expertise 
 

To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications:

• Associates' degree or higher from an accredited college or university and 7 years of experience with ICD-10-CM, CPT-4/HCPCS coding

• AHIMA-credentialed as an RHIT or RHIA

• Minimum of 5+ years combined experience with facility outpatient coding  auditing

• Knowledge of coding, documentation and billing requirements for the following outpatient encounter types: Ambulatory Surgery, Emergency Department, Observation, Outpatient Departments (e.g., Wound Care, Interventional Radiology/Cardiology, Infusion Clinic)

Additional qualifications that could help you succeed even further in this role include:

• Bachelor’s or Master’s degree in Health Information Management or related field

• Preferred 5+ years in health information management services consulting and/or managing coding quality functions in mid-to-large size acute care hospital setting

• Strong ICD-10-CM and CPT-4/HCPCS coding and auditing experience

• Working knowledge of risk-adjusted methodologies (e.g., HCCs, CRGs)

• Working knowledge of outpatient quality metrics (e.g., AM-PPCs)

• Preferred 3-5 years of experience with outpatient facility clinical documentation improvement

• Experience collaborating with and presenting to providers, clinical care team, and coding professionals regarding the subjects of coding and clinical documentation

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