Auditor, HCC Risk Adjustment Coding

Datavant; Montpelier (VT); In loco; USD 40.000 - 45.000; Tempo pieno

Descrizione del lavoro

Datavant is seeking an HCC Auditor to review medical records coded in ICD-10, ensuring accurate representation for risk adjustment and reimbursement. You will translate clinical documentation into precise codes and verify the correctness of the work.

This role requires 2 years of HCC coding and auditing experience, AHIMA or AAPC credentials, and the ability to work in a fast-paced environment. You will collaborate remotely when needed and support clients across healthcare ecosystems.

Competenze

• 2 years' HCC Coding experience.
• 2 years' HCC Auditing experience.
• Extensive knowledge of ICD-10.
• High school diploma or GED required.
• AHIMA credentials (RHIA, RHIT, CCS) or AAPC credentials (CPC, CPC-H, COC, CIC or CRC).
• Strong knowledge of medical terminology, 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.

Mansioni

• 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.

Conoscenze

HCC Coding

HCC Auditing

ICD-10 knowledge

Medical terminology

Verbal and written communication

Independent work

Formazione

High school diploma or GED

AHIMA/ AAPC credentials

Descrizione del lavoro

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 (https://www.datavant.com/eeo-commitment-statement) . Know Your Rights (https://www.eeoc.gov/know-your-rights-workplace-discrimination-illegal) , 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.

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (https://peopleteam.datavant.com/portal/en/newticket?departmentId=248697000248790029&layoutId=248697000248795462) by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (https://app.tango.us/app/workflow/Greenhouse--Locating-Requisition-ID-2c7d618c8a8a423da4330ff12330695e) . Requests for reasonable accommodations will be reviewed on a case-by-case basis.

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