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, Datavant ers 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
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
We are committed to building a diverse team of Datavant ers who are all responsible for stewarding a high-performance culture in which all Datavant ers belong and thrive. 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.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.
The estimated total cash compensation range for this role is:
$29—$32 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