Profee Audit Specialist

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $35 - $45 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 5%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Perform Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, modifiers, and appropriate coding references • Provide concise rationale for identified coding changes, including documentation references and locations • Organize and prioritize multiple cases concurrently to ensure workflow and case resolution • Develop and deliver virtual coder education programs, including webinars, presentations, training materials, and educational resources • Identify coding trends, audit findings, and knowledge gaps and develop targeted educational content • Collaborate with leadership and clients to design, develop, and maintain educational materials, reference tools, and learning resources • Serve as a subject matter expert by presenting coding and compliance topics to coders, providers, and healthcare stakeholders • Work in a professional, efficient, and positive manner • Maintain high-complexity work functions and decision-making • Keep abreast of regulatory changes

🎯 Requirements

• 5+ years of Professional Fee coding and/or auditing experience, with the majority in auditing • 3+ years of Professional Fee education creation and presentation experience • Multi-specialty coding/auditing experience • CPC required • CPMA preferred • Proficiency in Professional Fee multiple specialties, including E/M, Advance Care Planning (ACP), and surgical coding • Ability to multitask among multiple clients • Proficiency in Microsoft Office, including Excel, PowerPoint, and OneNote • Maintain a 95% accuracy rate • Experience with Epic, Cerner, and other prevalent EMRs • Adherence to the AAPC code of ethics • Customer-service focus, professionalism, flexibility, dependability, desire to learn, commitment to excellence, and commitment to the profession • Strong organizational, teamwork, and leadership skills • Ability to keep abreast of regulatory changes • Must work in the United States; this job is not eligible for employment sponsorship • May be required to complete post-offer health screenings and provide proof of vaccinations, depending on client requirements

🏖️ Benefits

• $2,500 sign-on bonus • Medical, dental, and vision benefits • 401(k) savings plan with match • 2 weeks of paid time off • Paid holidays • Floating holidays • Free CEUs every year • Stipend for education and professional dues (AHIMA/AAPC), if applicable • Equipment provided: monitor, laptop, mouse, headset, and keyboard • Comprehensive training led by a credentialed professional coding manager • Exceptional service-style management and mentorship