Remote HCC Risk Adjustment Auditor | ICD-10 Expert

Datavant; Hagåtña (GU); À distance; USD 40 000 - 45 000; Plein temps

Résumé du poste

Datavant is seeking an HCC Auditor to review medical records coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement. You will translate clinical documentation into precise codes and verify the accuracy of the work performed, contributing to reliable data for healthcare decisions.

Responsibilities include auditing charts, adapting to various guidelines, maintaining high quality, and participating in weekly reviews.

Qualifications

• 2 years' HCC Coding experience.
• 2 years' HCC Auditing experience.
• Extensive knowledge of ICD-10.
• Strong knowledge of medical terminology and abbreviations.

Responsabilités

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

Connaissances

HCC coding

HCC auditing

ICD-10 knowledge

Medical terminology

Formation

High school diploma / GED

Description du poste

Datavant is seeking an HCC Auditor to review medical records coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement. You will translate clinical documentation into precise codes and verify the accuracy of the work performed, contributing to reliable data for healthcare decisions.

Responsibilities include auditing charts, adapting to various guidelines, maintaining high quality, and participating in weekly reviews.