Outpatient Content Management Consultant
Solventum · Lansing, MI · 2 days ago
RemoteRemoteEngineering$126k–$173k/yrFull-time
The Role
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.
Responsibilities
- Apply 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 outcomes.
- Use coding and payment methodology expertise, including APC, PFS, risk adjustment (HCC, CRG, etc.), quality indicators, medical necessity, population health, and coding compliance, to develop education, validate content accuracy, and current regulatory and reimbursement requirements.
- Develop, review, and maintain training materials, reference resources, workflows, and customer-facing education for Solventum’s Visit Integrity training program, while partnering with the Solventum Technical Writing team to translate complex coding, CDI, payment, and regulatory guidance into clear, accurate, and usable content within established editing and content management platforms.
- Coordinate Solventum’s monthly education network, including topic planning, speaker coordination, presentation review, session facilitation, and follow-up resource management to support ongoing customer and internal education.
- Collaborate 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.
Requirements
- 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 environment OR High School Diploma/GED AND twelve (12) years of experience in coding and CDI in a private, public, government or military environment
- Current RHIA or RHIT credential with CCS, CCS-P, or CPC certification
- Demonstrated outpatient CDI expertise, including documentation review, query development, compliant query practice, provider education, diagnosis specificity, and clinical validation support
- Demonstrated 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 requirements
- Demonstrated 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 coding compliance
Qualifications
- Master’s degree in HIM, healthcare administration, clinical discipline, or related healthcare field
- AHIMA (RAC) and/or AAPC (CRC) risk adjustment certification
- Seven (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 settings
- Advanced knowledge of ICD-10-CM, CPT, HCPCS, APC, OPPS, MPFS, medical necessity, coding compliance, healthcare billing, and revenue cycle management
- Working knowledge of risk-adjusted methodologies, including CRG, CMS-HCC and HHS-HCC, and quality of care measures such as OQR, QIP, and P4P
- Ability 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