Client Coding Project Manger (CCPM)

Datavant; United States; Remote; USD 75,000 - 90,000; Full time

Benefits offered by this job

Health insurance

PTO

Retirement plan

Career growth

Wellness programs

Location-based benefits

Job summary

Datavant, the data collaboration platform trusted for healthcare, is seeking a Client Coding Project Manager to oversee risk adjustment coding audits and QA programs. You will work with management to set benchmarks, educate teams, and drive quality improvements across internal and vendor teams.

The role focuses on monitoring RAID operations, ensuring coding compliance with ACA and MA requirements, and delivering timely findings and training to staff.

Qualifications

• Bachelor’s degree in a relevant field or 3–5 years related work experience in risk adjustment coding.
• Expert knowledge of Risk Adjustment and ACA/MA requirements.
• 1+ years of project management experience.
• Strong research and problem-resolution skills.
• Proficient with Microsoft and G-Suite applications; Excel skills are essential.
• Exceptional interpersonal and communication abilities; focus on quality and process improvement.

Responsibilities

• Monitor the performance of Risk Adjustment Operations internally and with coding vendors.
• Provide expertise on coding compliance for new and existing services.
• Educate QA specialists, vendors and staff through formal and informal training.
• Report findings to Leadership and drive timely implementation of changes.
• Support audit processes and document workflows; identify process improvements.
• Assist in developing and delivering training on coding techniques.

Skills

Risk Adjustment

Project management

Communication

Problem solving

Excel

Interpersonal skills

Education

Bachelor’s degree in a relevant field

Tools

Excel

Microsoft Office

G-Suite

Job description

the company 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 the company 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 the company 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 the company 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.

the company 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. In addition, the company 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.

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