Auditor, HCC Risk Adjustment Coding

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.

By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

What We’re Looking For:

As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in 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 status and confirming the accuracy of said work.

What You Will Do:

Audit coded charts assigned by quality supervisor per the client guidelines

Ability to move from different sets of client guidelines with minimal difficulty

Maintain a 95% quality average at a diagnosis level

Answer rebuttals entered on the auditor by coders and or auditors

Participate in weekly coding project review meetings

Any other tasks asked by quality supervisor

What You Need to Succeed:

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)

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

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

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. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

This job is not eligible for employment sponsorship.

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. To learn more about our commitment, please review our EEO Commitment Statement here . Know Your Rights , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

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