Auditor, HCC Risk Adjustment Coding

Job description

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 t…