Auditor, HCC Risk Adjustment Coding

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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

• Review medical records to identify and code diagnoses using a standardized system. • Ensure accurate representation of patient conditions for risk adjustment and reimbursement purposes. • Provide education through detailed feedback within audits. • Provide coders’ on-going education for any identified missed/incorrect ICD-10 codes or incorrect/missing/inappropriate client-based notes. • Maintain communication with both Coders as well as management on errors, trends, educational opportunities, etc. • Other tasks required by management.

🎯 Requirements

• Minimum 3 years of HCC coding experience • Minimum 2 years of HCC Auditing experience • High school diploma or GED equivalent • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC). • Proficient in ICD-10 coding. • Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. • In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. • Ability to excel in a fast-paced production environment while upholding high-quality standards. • Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills. • Working knowledge of the business computer hardware and software to enhance data processing effectiveness and security.

🏖️ Benefits

• Comprehensive health, dental, and vision insurance • Paid time off (PTO) plan • Retirement savings plan • Flexible work arrangements • Opportunities for career growth and development • Employee wellness programs