ProFee Audit Specialist- PRN

Datavant; United States; Remote; USD 48,216 - 61,992; Full time

Benefits offered by this job

Medical, Dental, Vision benefits

401(k) savings plan with match

Paid time off

Job summary

Datavant is seeking a Professional Auditing Specialist to perform coding audits and ensure compliance in healthcare. This fully remote position requires over 5 years of coding experience, strong organizational skills, and CPC certification. The role involves educating coders and maintaining a high accuracy rate. Benefits include medical, dental, and vision plans, along with paid time off and professional development stipends.

Qualifications

• 5+ years of Professional Fee coding and auditing experience.
• Maintain a 95% accuracy rate.

Responsibilities

• Perform Professional Fee coding audits of medical records.
• Provide rich and concise rationale for changes identified.
• Keep abreast of regulatory changes.

Skills

Professional Fee coding and/or auditing experience

CPC certification

Strong organizational skills

Customer service focus

Education

CPC certification

CPMA certification

Tools

Epic

Cerner

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.

What We're Looking For:

As a Professional Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace.

What You Will Do:

• Perform Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment.
• Provide rich and concise rationale explaining the reasoning behind any identified changes, including specific references and documentation location.
• Keep abreast of regulatory changes.
• Organize and prioritize multiple cases concurrently to ensure departmental workflow and case resolution.
• Provide coder education via the auditing process.
• Function in a professional, efficient and positive manner.
• Adhere to the American Health Information Management Association (AHIMA)'s code of ethics.
• Be customer‑service focused and exhibit professionalism, flexibility, dependability, a desire to learn, commitment to excellence and professional growth.
• Handle high complexity of work function and decision making.
• Demonstrate strong organizational, teamwork, and leadership skills.

What You Need to Succeed:

• 5+ years of Professional Fee coding and/or auditing experience.
• CPC certification (required).
• CPMA certification (preferred).
• Maintain a 95% accuracy rate.
• Experience with various software including Epic, Cerner, and other prevalent EMRs.

What We Offer:

• Benefits for full‑time employees: Medical, Dental, Vision, 401(k) savings plan with match, 2 weeks of paid time off, paid holidays, floating holidays.
• Free CEUs every year.
• Stipend provided to assist with education and professional dues (AHIMA/AAPC) if applicable.
• Equipment: monitor, laptop, mouse, headset, and keyboard.
• Comprehensive training led by a credentialed professional coding manager.
• Exceptional service‑style management and mentorship.

Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

Estimated base pay per hour: $35—$45 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 on a case‑by‑case basis, based on disability, medical contraindications, pregnancy, or religious considerations.

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. Knowledge of your rights is encouraged, as well as resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

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