Remote HCC Auditor & Data Integrity Specialist

Datavant; Hartford (CT); À distance; USD 40 000 - 45 000; Plein temps

Résumé du poste

Datavant is seeking an experienced HCC Auditor to review coded medical records and translate clinical documentation into precise ICD-10 codes for risk adjustment and reimbursement. You will ensure accuracy of work and maintain quality standards in a fast-paced environment.

You will audit charts, adapt to varied client guidelines, participate in weekly review meetings, and support the quality team in ensuring compliant data processing.

Qualifications

• 2 years' HCC Coding experience.
• 2 years' HCC Auditing experience.
• Extensive knowledge of ICD-10.
• High school diploma or GED equivalent required.
• AHIMA credentials (RHIA, RHIT, CCS) or AAPC credentials (CPC, CPC-H, COC, CIC or CRC).
• Strong knowledge of medical terminology, 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.
• Ability to be flexible in work environment.
• 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

Responsabilités

• Audit coded charts assigned by quality supervisor per the client guidelines.
• Move between different sets of client guidelines with minimal difficulty.
• Maintain a 95% quality average at a diagnosis level.
• Answer rebuttals entered on the auditor by coders and/or auditors.
• Participate in weekly coding project review meetings.
• Perform any other tasks requested by the quality supervisor.

Connaissances

HCC coding experience

HCC auditing experience

ICD-10 knowledge

Medical terminology

Time management

Communication skills

Remote work ability

Formation

High School Diploma or GED

AHIMA/RHIA/RHIT/CCS or AAPC CPC/CPC-H/COC/CIC/CRC credentials

Description du poste

Datavant is seeking an experienced HCC Auditor to review coded medical records and translate clinical documentation into precise ICD-10 codes for risk adjustment and reimbursement. You will ensure accuracy of work and maintain quality standards in a fast-paced environment.

You will audit charts, adapt to varied client guidelines, participate in weekly review meetings, and support the quality team in ensuring compliant data processing.