ProFee Audit Specialist

🕒 June 8

🇺🇸 United States – Remote

💵 $35 - $45 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

💻 IT Support

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Datavant

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2017

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 $40M Series B on 2020-10

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.

📋 Description

• Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment. • Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc • Keeps abreast of regulatory changes • Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution • Provides coder education via the auditing process • Function in a professional, efficient and positive manner • Adhere to the American Health Information Management Association (AHIMA)’s code of ethics • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession • High complexity of work function and decision making • Strong organizational, teamwork, and leadership skills

🎯 Requirements

• 5+ years of Professional Fee coding and/or auditing • CPC (required) • CPMA (preferred) • Maintain 95% accuracy rate • Experience with various software including Epic, Cerner, and other prevalent EMRs

🏖️ Benefits

• Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays • Free CEUs every year • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable • Equipment: monitor, laptop, mouse, headset, and keyboard • Comprehensive training led by a credentialed professional coding manager • Exceptional service-style management and mentorship (we’re in this together!)