Remote HCC Risk Adjustment Auditor | ICD-10 Expert

Datavant; Augusta (ME); 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, maintain high quality, and support a fast-paced production environment while working remotely.

Ideal candidates have 2+ years in HCC Coding and Auditing, 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.
• High school diploma or GED equivalent.
• AHIMA or AAPC credentials are preferred.
• Strong knowledge of medical terminology, abbreviations, pharmacology, and disease processes.

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

HCC Auditing

ICD-10 knowledge

Medical terminology

Communication skills

Education

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

High school diploma or GED

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, maintain high quality, and support a fast-paced production environment while working remotely.

Ideal candidates have 2+ years in HCC Coding and Auditing, AHIMA or AAPC credentials, and strong medical terminology knowledge.