Remote HCC Auditor & Coding Quality Specialist

Datavant; Cheyenne (WY); Remote; USD 40,000 - 45,000; Full time

Job summary

Datavant is seeking an experienced HCC Auditor to review medical records coded in ICD-10, ensuring accurate representation of patient conditions for risk adjustment and reimbursement. You will translate clinical documentation into precise codes and verify accuracy in a remote work environment.

The role requires 2 years of HCC coding and auditing experience, AHIMA or AAPC credentials, and strong medical terminology knowledge.

Qualifications

• 2 years' HCC Coding experience.
• 2 years' HCC Auditing experience.
• Extensive knowledge of ICD-10 coding.
• Strong knowledge of medical terminology and pharmacology.
• Ability to work in a fast-paced production environment while maintaining quality.
• Ability to work independently and meet deadlines.
• Excellent written and verbal communication; able to work remotely.
• Must follow instructions and stay within guidelines.
• Remote work with reliable internet.

Responsibilities

• Audit coded charts per client guidelines.
• Adapt to different client guideline sets.
• Maintain a 95% quality average at a diagnosis level.
• Respond to rebuttals from coders and auditors.
• Participate in weekly coding project review meetings.
• Complete other tasks as assigned by quality supervisor.

Skills

HCC Coding

HCC Auditing

ICD-10 knowledge

Medical terminology

Communication skills

Education

High school diploma or GED

AHIMA RHIA/RHIT/CCS

AAPC CPC/CPC-H/COC/CIC/CRC

Job description

Datavant is seeking an experienced HCC Auditor to review medical records coded in ICD-10, ensuring accurate representation of patient conditions for risk adjustment and reimbursement. You will translate clinical documentation into precise codes and verify accuracy in a remote work environment.

The role requires 2 years of HCC coding and auditing experience, AHIMA or AAPC credentials, and strong medical terminology knowledge.