HCC Risk Adjustment Coder - Full Time - Remote

Datavant; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading health data exchange company seeks an HCC coder to review medical records and code diagnoses ensuring accurate representation for risk adjustment and reimbursement. The ideal candidate has AHIMA or AAPC certifications and at least two years of experience. Responsibilities include coding diagnostic information, ensuring compliance with established guidelines, and maintaining a 95% accuracy rate. This role offers a base pay of $19.60/hour with additional incentives, working in a supportive and high-performance environment.

Qualifications

• Must be AHIMA or AAPC certified.
• Must have at least 2 years of HCC coding experience.
• Must understand medical terminology and disease processes.

Responsibilities

• Review medical records to code diagnoses.
• Ensure compliance with ICD-10 and reimbursement policies.
• Maintain a 95% coding accuracy rate.

Skills

AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC)

2 years HCC coding experience

Full understanding of ICD-10

Excellent communication skills

Problem-solving skills

Ability to work independently

Time management skills

Tools

Microsoft Office

Job description

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.

Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care.

By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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.

Responsibilities

• Review, analyze, and code 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, third party reimbursement policies, regulations and accreditation guidelines.
• Coders must meet and maintain a 95% coding accuracy rate.
• Any other task requested by leadership.

What You Will Bring To The Table

• AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC).
• A minimum of 2 years HCC coding experience, while certified.
• Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease processes.
• Ability to be flexible in the work environment.
• 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, problem solve, 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 use Microsoft Office with no training.
• Ability to be able work on multiple client projects simultaneously, if needed.

This position has a base pay of $19.60/hour plus the option to earn up additional incentives, starting at $3.00 per chart based on quality and production.

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. 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.

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Seniority level

Entry level

Employment type

Full-time

Job function

Health Care Provider

Industries

Software Development