Client Coding Project Manager

October 9

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Datavant

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Healthcare Insurance • SaaS • Enterprise

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.

201 - 500 employees

Founded 2017

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 $40M Series B on 2020-10

📋 Description

• Maintain a quality assurance program • Play a key role in ensuring coding compliance and accuracy • Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors • Provides expertise as it relates to coding compliance for new and existing services, while ensuring compliance with organizational, federal, state, and third-party requirements. • Assist in the methods to effectively communicate information through presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff. • Report findings to Leadership in a timely, consistent and effective manner ensuring that appropriate changes are implemented. • Support audit processes ensuring work flows and results are properly documented and maintained. Identify process improvements as needed. • Assist in the development of an effective training program regarding correct coding techniques/practices • Assist with training new auditors and training of other staff as needed. • Create methods to share information on the program, quality, and initiatives with Management on a monthly cadence at minimum. • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA. • Expert knowledge of Risk Adjustment. • Research and problem resolution skills. • Exceptional interpersonal relationship skills. • Must possess strong managerial, financial, and analytical skills. • Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement. • Strong communication skills to effectively interact all levels of the organization, business unit leaders, and staff in a tactful and positive manner. • Experience overseeing remote (Work at Home) operations. • Exceptional interpersonal skills, proven success in complex and ambiguous environments. • Ability to work independently, with high productivity, and regularly meet deadlines. • Demonstrates excellent written and verbal communication skills conforming to all rules of punctuation, grammar, diction and professional style. • Experience in initiating, developing and monitoring policies, internal control procedures and operating standards.

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible working hours • Paid time off • Professional development opportunities