HCC Risk Adjustment Coder

Transformcap; United States; On-site; USD 34,000 - 37,000; Full time

Job summary

Datavant is seeking an HCC coder to review medical records and assign ICD-10 diagnoses per project guidelines, contributing to accurate risk adjustment and reimbursement. The role emphasizes precision, compliance with ICD-10-CM/DRG guidelines, and the ability to work in a remote environment.

You will maintain high coding quality, collaborate across teams, and support multiple client projects. AHIMA/AAPC credentials are preferred; 40 hours per week; hourly pay around $25–$26.70 USD.

Qualifications

• A minimum of 2 years' HCC coding.
• Extensive knowledge of ICD-10.
• Ability to be flexible in the work environment.
• Strong knowledge of medical terminology, abbreviations, pharmacology, and disease processes.
• Ability to work in a fast-paced production environment while maintaining high quality.
• Must 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 computer hardware and software to ensure effectiveness and data security.
• Must commit to 40 hours weekly.
• Ability to work on multiple client projects.
• AHIMA/AAPC credentials required (RHIA/RHIT/CCS or CPC/CPC-H/COC/CIC/CRC); CPC-As accepted with CRC.

Responsibilities

• Review, analyze, and code diagnostic information in patient records per project guidelines.
• Ensure compliance with ICD-10-CM, DRGs coding guidelines, third party policies, regulations, and accreditation guidelines.
• Maintain a 95% coding accuracy rate.
• Perform any other task requested by management.

Skills

HCC coding

ICD-10 knowledge

Medical terminology

Remote work ability

Education

AHIMA RHIA/RHIT/CCS

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, Dataventers 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**

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: $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. 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, 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. Requests for reasonable accommodations will be reviewed on a case-by-case basis.

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