Auditor, HCC Risk Adjustment Coding

Overview

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 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.

• 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

• 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

• {{Comprehensive health, dental, and vision insurance}}

• {{Paid time off (PTO) plan, offering X days per year, plus holidays}}

• {{Retirement savings plan}}

• {{Flexible work arrangements}}

• {{Opportunities for career growth and development}}

• {{Employee wellness programs}}

• {{Additional benefits based on location and role}}

• {{Any unique or company-specific perks, such as paid volunteer days, travel opportunities, or company discounts}}

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…