HCC Risk Adjustment Coder PRN PPC

Datavant; United States; Remote; USD 60,000 - 80,000; Part time

Job summary

An innovative data platform company is seeking an HCC Coder to join their dynamic team. In this role, you will review medical records and code diagnoses using standardized systems to ensure accurate patient representation for risk adjustment and reimbursement. This PRN position offers flexible coding hours and the opportunity to work independently while maintaining a high coding accuracy rate. As part of a forward-thinking organization, you will contribute to tackling complex healthcare challenges with technology-driven solutions, making a real impact on health decisions.

Benefits

401(k) plan with matching

Flexible coding hours

Paid self-paced training

Equipment provided

Qualifications

• 2+ years of HCC coding experience with relevant certification.
• Full understanding of ICD-10 and medical terminology.

Responsibilities

• Review and code diagnostic information in medical records.
• Ensure compliance with ICD-10 and reimbursement policies.

Skills

HCC Coding

ICD-10 Knowledge

Medical Terminology

Problem-Solving

Communication Skills

Time Management

Education

AHIMA Certification (RHIA, RHIT, CCS)

AAPC Certification (CPC, CPC-H, COC, CIC, CRC)

Tools

Microsoft Office

Job description

Job Description: HCC Coder (PRN)

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.

Role Overview

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. This is a PRN (as needed) position with no guarantee of weekly work.

Responsibilities

• Review, analyze, and code diagnostic information in medical records based on client-specific guidelines.
• Ensure compliance with ICD-10 CM, reimbursement policies, regulations, and accreditation guidelines.
• Maintain a coding accuracy rate of at least 95%.
• Perform additional tasks as requested by leadership.

Qualifications

• AHIMA (RHIA, RHIT, CCS) or AAPC (CPC, CPC-H, COC, CIC, CRC) certification.
• Minimum of 2 years of HCC coding experience with certification.
• Full understanding of ICD-10, medical terminology, abbreviations, pharmacology, and disease processes.
• Flexibility in work environment and ability to work in a fast-paced setting.
• Ability to follow instructions, meet deadlines, and work independently.
• Excellent communication skills, problem-solving abilities, and time management skills.
• Proficiency with computer hardware and software, including Microsoft Office.
• Ability to manage multiple client projects simultaneously.

What We Offer

• 401(k) plan with matching.
• Equipment including monitor, mini desktop (hardwired), mouse, headset, and keyboard.
• PRN hours: minimum 15 hours/week, up to 32 hours/week, with no guaranteed work.
• Flexible coding hours, available 24/7.
• Paid self-paced training.

The hourly rate is $17.00, with an additional $3.50 per chart coded.