Client Coding Project Manger (CCPM)

Datavant; Dover (DE); On-site; USD 75,000 - 90,000; Full time

Benefits offered by this job

Health insurance

PTO plan with holidays

Retirement savings plan

Career growth opportunities

Wellness programs

Location-based benefits

Job summary

Datavant is seeking a Client Coding Project Manager to lead risk adjustment auditing and QA initiatives. You will monitor audit workflows, train staff, and collaborate with management to implement benchmarks and thresholds.

The role requires expertise in risk adjustment, project management, and strong communication. You will drive process improvements and ensure compliance with federal, state, and third-party requirements while supporting vendor relations.

Qualifications

• Bachelor’s degree in relevant field preferred or 5 years coding experience in risk adjustment (ACA and MA).
• Expert knowledge of Risk Adjustment.
• 1+ years experience in project management.
• Proficient in Microsoft and G-Suite applications. Excel skills are a must.
• Strong communication and interpersonal skills.
• Ability to work independently and meet deadlines.

Responsibilities

• Monitor the performance of Risk Adjustment Operations internally and with coding vendors.
• Provide expertise on coding compliance for new and existing services.
• Develop training materials and educate QA staff and vendors.
• Report findings to Leadership and drive timely improvements.
• Support audit processes and document workflows.

Skills

Risk Adjustment expertise

Project management

Research and problem resolution

Interpersonal skills

Communication skills

Independent work

Education

Bachelor’s degree or higher

Tools

Microsoft Excel

Google Workspace

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:

The Client Coding Project Manager will provide superior quality by performing audits pertaining to risk adjustment coding efforts. They will be responsible for daily operations pertaining to auditing functions as assigned. The CCPM will provide superior customer experience by educating internally and externally on opportunities for improvement discovered during auditing. This individual will work closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs.

What You Will Do:

• Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors.

• Provides expertise as it relates to coding compliance for new and existing services, while ensuring compliance with organizational, federal, state, and third-party requirements.

• Assist in the methods to effectively communicate information through presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff.

• Report findings to Leadership in a timely, consistent and effective manner ensuring that appropriate changes are implemented.

• Support audit processes ensuring work flows and results are properly documented and maintained. Identify process improvements as needed.

• Assist in the development of an effective training program regarding correct coding techniques/practices.

• Assist with training new auditors and training of other staff as needed.

• Create methods to share information on the program, quality, and initiatives with Management on a monthly cadence at minimum.

• Maintain a quality assurance program.

• Play a key role in ensuring coding compliance and accuracy.

• Perform other duties as assigned.

What You Need to Succeed:

• Bachelor’s degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA.

• Expert knowledge of Risk Adjustment.

• 1+ years experience in project management.

• Research and problem resolution skills.

• Proficient in Microsoft and G-Suite applications. Excel skills are a must.

• Exceptional interpersonal relationship skills.

• Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement.

• Strong communication skills to effectively interact all levels of the organization, business unit leaders, and staff in a tactful and positive manner.

• Exceptional interpersonal skills, proven success in complex and ambiguous environments.

• Ability to work independently, with high productivity, and regularly meet deadlines.

• Demonstrates excellent written and verbal communication skills conforming to all rules of punctuation, grammar, diction and professional style.

• Experience in initiating, developing and monitoring policies, internal control procedures and operating standards.

What We Offer:

• Comprehensive health, dental, and vision insurance

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

• Retirement savings plan

• Opportunities for career growth and development

• Employee wellness programs

• Additional benefits based on location and role

Physical Requirements:

• Sitting or standing for duration of work shift (or alternating between the two)

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters 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:

$75,000-$90,000 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-case basis.

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