Remote HCC Auditor & Risk Adjustment Coding Specialist

Datavant; Richmond (VA); Remote; USD 40,000 - 45,000; Full time

Job summary

Datavant is seeking an 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 the accuracy of work while working remotely.

You'll audit coded charts per client guidelines, move across guideline sets, maintain a 95% diagnosis-level quality, and participate in weekly coding reviews in a fast-paced environment.

Qualifications

• 2 years' HCC Coding experience
• 2 years' HCC Auditing experience
• Extensive knowledge of ICD-10
• High school diploma or GED equivalent required
• AHIMA or AAPC credentials (RHIA, RHIT, CCS) or 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 follow instructions, meet deadlines and work independently
• Ability to be flexible in work environment
• Excellent written and verbal communication skills; ability to work remotely and manage time efficiently
• Working knowledge of business use of computer hardware and software to ensure data security

Responsibilities

• Audit coded charts assigned by quality supervisor per the client guidelines
• Ability to move from 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
• Any other tasks asked by quality supervisor

Skills

HCC coding experience

HCC auditing experience

Medical terminology

Ability to work independently

Remote work capability

Education

High school diploma or GED

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

Job description

Datavant is seeking an 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 the accuracy of work while working remotely.

You'll audit coded charts per client guidelines, move across guideline sets, maintain a 95% diagnosis-level quality, and participate in weekly coding reviews in a fast-paced environment.