Remote HCC Risk Adjustment Auditor ICD-10 Expert

Datavant; Trenton (NJ); Remote; USD 40,000 - 45,000; Full time

Job summary

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 against client guidelines and maintain high-quality output in a fast-paced environment.

Responsibilities include auditing charts, handling rebuttals, participating in weekly reviews, and adapting to multiple guideline sets while meeting deadlines.

Qualifications

• 2 years' HCC Coding experience.
• 2 years' HCC Auditing experience.
• Extensive knowledge of ICD-10.
• High school diploma or GED equivalent.
• AHIMA credentials (RHIA, RHIT, CCS) or AAPC credentials (CPC, CPC-H, COC, CIC or CRC).
• Strong knowledge base of medical terminology, medical 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 the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data.

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

ICD-10 knowledge

Medical terminology

Communication skills

Remote work ability

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 coded medical records and translate clinical documentation into precise ICD-10 codes for risk adjustment and reimbursement. You will ensure accuracy against client guidelines and maintain high-quality output in a fast-paced environment.

Responsibilities include auditing charts, handling rebuttals, participating in weekly reviews, and adapting to multiple guideline sets while meeting deadlines.