HCC Auditor & ICD-10 Specialist - Remote

Datavant; Pierre (SD); Remote; USD 40,000 - 45,000; Full time

Job summary

Datavant seeks an experienced HCC Auditor to review medical records coded in ICD-10, ensuring accurate portrayal of patient conditions for risk adjustment and reimbursement. You will translate clinical documentation into precise codes reflecting health status, and verify the accuracy of work.

You will audit charts per client guidelines, adapt to different guideline sets, maintain 95% quality at the diagnosis level, and participate in weekly reviews.

Qualifications

• 2 years' HCC Coding experience.
• 2 years' HCC Auditing experience.
• Extensive knowledge of ICD-10.
• High school diploma or GED equivalent required.
• AHIMA or AAPC credentials (RHIA, RHIT, CCS, CPC, CPC-H, COC, CIC or CRC) preferred.
• Strong medical terminology, abbreviations, pharmacology, and disease knowledge.
• Ability to work in fast-paced production while maintaining quality.
• Follow instructions, meet deadlines, and work independently.

Responsibilities

• Audit coded charts assigned by quality supervisor per client guidelines.
• Move between 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.
• Handle any other tasks asked by the quality supervisor.

Skills

HCC coding

HCC auditing

ICD-10 knowledge

Medical terminology

Communication

Education

High school diploma or GED

AHIMA/APA CPC or CCS credentials

Job description

Datavant seeks an experienced HCC Auditor to review medical records coded in ICD-10, ensuring accurate portrayal of patient conditions for risk adjustment and reimbursement. You will translate clinical documentation into precise codes reflecting health status, and verify the accuracy of work.

You will audit charts per client guidelines, adapt to different guideline sets, maintain 95% quality at the diagnosis level, and participate in weekly reviews.