Auditor, HCC Risk Adjustment Coding

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $29 - $33 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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 • Translate clinical documentation into precise codes reflecting patient health complexity and severity • Confirm the accuracy of coded work • 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 assigned 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, or 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 • Ability to follow instructions, meet deadlines, and work independently • Ability to be flexible in the work environment • Excellent written and verbal communication skills • Ability to work in a remote environment and time management skills • Working knowledge of business use of computer hardware and software for effective, quality processing and data security • Must be able to work in the United States • This job is not eligible for employment sponsorship

🏖️ Benefits

• Post-offer health screenings and proof and/or completion of required vaccinations such as flu shot, Tdap, and COVID-19 vaccines, subject to applicable exemptions • Reasonable accommodations for individuals with physical and mental disabilities • Equal Employment Opportunity protections

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