Payer Coding Ops

🕒 May 28

🇺🇸 United States – Remote

💵 $25 - $26 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

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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

• The certified coder reviews, analyzes, and codes diagnostic information in a patient’s medical record based on client specific guidelines for the project. • The coder will ensure compliance with established ICD-10 CM, DRGs coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines. • Coders must meet and maintain a 95% coding accuracy rate. • Any other task requested by management.

🎯 Requirements

• A minimum of 2 years' HCC coding. • Extensive knowledge of ICD-10. • Ability to be flexible in the work environment. • A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease processes. • Ability to work in a fast-paced production environment while maintaining high quality. • Must be able to follow instructions, meet deadlines and work independently. • Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills. • Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data. • Must be able to commit to 40 hours weekly. • Ability to be able work on multiple client projects. • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC). ** We are accepting CPC-As but you must have your CRC as well**