Profee Audit Specialist

🕒 October 1

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Datavant

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2017

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

💰 $40M Series B on 2020-10

Healthcare • Consulting • Healthcare Insurance

Datavant is a company that provides a platform and network focused on making health data secure, accessible, and usable across the healthcare ecosystem. With a focus on data connectivity and interoperability, Datavant facilitates the movement of healthcare records across a vast network of organizations, including hospitals, clinics, health systems, and data partners. Their suite of products and solutions covers areas such as health data exchange, data transformation, and privacy compliance, serving various clients including health plans, healthcare providers, life sciences, and government organizations. Datavant's mission is to advance human health through improved data exchange and analytics.

📋 Description

• Perform Professional Fee coding audits of medical records and abstracts • Use ICD-10-CM, CPT, HCPCS, modifiers, and appropriate coding references for accurate coding assignment • Provide concise rationale for identified changes, including specific references and documentation locations • Keep abreast of regulatory changes • Organize and prioritize multiple cases concurrently to ensure workflow and case resolution • Provide coder education through the auditing process • Address consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews • Identify and present solutions for customer issues • Adhere to AHIMA's code of ethics • Make complex work-function and decision-making judgments

🎯 Requirements

• 5+ years of Professional Fee coding and/or auditing • CPC required • CPMA preferred • Maintain a 95% accuracy rate • Experience with Epic, Cerner, and other prevalent EMRs • Experience with multi-specialties preferred • Availability within normal business hours preferred • Customer-service focus and professionalism • Flexibility, dependability, desire to learn, and commitment to excellence and the profession • Strong organizational, teamwork, and leadership skills • This job is not eligible for employment sponsorship

🏖️ Benefits

• $2,500 sign-on bonus • Medical, dental, and vision benefits for full-time employees • 401k Savings Plan with match • 2 weeks of paid time off • Paid holidays and floating holidays • Free CEUs every year • Stipend to assist with education and professional dues (AHIMA/AAPC), if applicable • Equipment provided: monitor, laptop, mouse, headset, and keyboard • Comprehensive training led by a credentialed professional coding manager • Exceptional service-style management and mentorship • Flexible schedule