Auditor, HCC Risk Adjustment Coding

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $29 - $32 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

🚫👨‍🎓 No degree required

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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

• Review medical records coded in a standardized system to ensure accurate representation of patient conditions for risk adjustment and reimbursement • Audit coded charts assigned by the quality supervisor according to client guidelines • Move between different sets of client guidelines with minimal difficulty • Maintain a 95% quality average at the diagnosis level • Answer rebuttals entered by coders and/or auditors • Participate in weekly coding project review meetings • Perform other tasks requested by the quality supervisor

🎯 Requirements

• 2 years' HCC Coding experience • 2 years' HCC Auditing experience • Extensive knowledge of ICD-10 • High school diploma or GED equivalent required • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC) • Strong knowledge 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 • Ability to be flexible in work environment • 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 • Ability to work in the United States • Job is not eligible for employment sponsorship

🏖️ 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