Auditor, Hcc Risk Adjustment Coder
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health stats.
You will:
- 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.
What you will bring to the table:
- 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
What We Offer:
- 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
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $29$33 USD.
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.