HCC Risk Adjustment Coder

OpenKrill; United States; On-site; USD 3,444,000 - 3,720,000; Full time

Benefits offered by this job

Remote work

Job summary

Datavant is seeking a skilled HCC coder to join our healthcare data platform team. You will review medical records, identify diagnoses, and code them according to ICD-10-CM guidelines to support risk adjustment and payer reimbursement.

Ideal candidates have at least 2 years of HCC coding experience, strong medical terminology knowledge, and the ability to work independently in a remote setting while delivering high-quality, accurate coding for multiple client projects.

Qualifications

• 2+ years of HCC coding experience.
• Strong knowledge of ICD-10-CM coding guidelines.
• Ability to work in a remote environment and manage multiple client projects.
• Excellent written and verbal communication skills and time management.

Responsibilities

• Review medical records to identify and code diagnoses per client guidelines.
• Ensure compliance with ICD-10-CM, DRG coding guidelines, and payer policies.
• Maintain a 95% coding accuracy rate.
• Perform other tasks as requested by management.

Skills

HCC coding

ICD-10 knowledge

Medical terminology

Remote work

Time management

Education

AHIMA RHIA/RHIT/CCS or AAPC CPC/CPC-H/COC/CIC/CRC

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.

As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using 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.

You will:

• The certified coder reviews, analyzes, and codes diagnostic information in a patient’s medical record based on client specific guidelines for the project.
• The coder will ensure compliance with established ICD‑10 CM, DRGs coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.
• Coders must meet and maintain a 95% coding accuracy rate.
• Any other task requested by management.

What you will bring to the table:

• A minimum of 2 years' HCC coding.
• Extensive knowledge of ICD‑10.
• Ability to be flexible in the work environment.
• 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.
• 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.
• Must be able to commit to 40 hours weekly.
• Ability to be able work on multiple client projects.
• AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC‑H, COC, CIC, or CRC). ** We are accepting CPC-As but you must have your CRC as well**

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:$25-$26.70 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. Know Your Rights, 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.

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