Remote ProFee Coding Auditor & Education Expert

Datavant; Hartford (CT); Remote; USD 48,000 - 62,000; Full time

Benefits offered by this job

Medical benefits

Free CEUs annually

Education stipend (AHIMA/AAPC)

Job summary

Datavant is seeking a Profee Auditing & Education Specialist to address coding quality, compliance assessments, payer reviews, and education programs. This fully remote role offers a flexible schedule and a chance to shape healthcare data quality from your home office.

You will perform audits, develop training materials, and collaborate with clients to improve coding accuracy and compliance. Requires 5+ years in professional fee coding/auditing, 3+ years creating and presenting education, and

Qualifications

• 5+ years of Professional Fee coding and/or auditing with majority in auditing.
• 3+ years of Professional Fee education creation and presentation.
• Multi-Specialty coding/auditing experience.
• CPC certification.
• CPMA (preferred).
• Proficient in Microsoft Office including Excel, PowerPoint, OneNote.
• Maintain 95% accuracy rate.
• Experience with Epic, Cerner, and other prevalent EMRs.

Responsibilities

• Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment.
• Provides rationale explaining the changes with specific references and documentation locations.
• Organizes and prioritizes multiple cases concurrently to ensure workflow and case resolution.
• Develops and delivers virtual coder education programs and materials to support coding accuracy and compliance.
• Identifies coding trends, audit findings, and knowledge gaps and develops targeted educational content.
• Collaborates with leadership and clients to design, develop, and maintain educational materials and learning resources.
• Serves as a subject matter expert by presenting coding and compliance topics to coders, providers, and stakeholders.
• Adheres to the AAPC code of ethics.
• Demonstrates customer-service focus, professionalism, flexibility and commitment to the profession.
• Keeps abreast of regulatory changes.

Skills

CPC

CPMA (preferred)

Microsoft Office

Epic

Cerner

Tools

Epic

Cerner

Job description

Datavant is seeking a Profee Auditing & Education Specialist to address coding quality, compliance assessments, payer reviews, and education programs. This fully remote role offers a flexible schedule and a chance to shape healthcare data quality from your home office.

You will perform audits, develop training materials, and collaborate with clients to improve coding accuracy and compliance. Requires 5+ years in professional fee coding/auditing, 3+ years creating and presenting education, and