Risk-Adjustment Coding Project Manager

Datavant; Columbus (OH); On-site; USD 75,000 - 90,000; Full time

Benefits offered by this job

Health, dental, vision insurance

PTO and holidays

Retirement plan

Career growth opportunities

Wellness programs

Location-based benefits

Job summary

Datavant is seeking a Client Coding Project Manager to audit risk adjustment coding efforts and oversee daily auditing operations. The role focuses on education for QA specialists, vendors, and staff, and requires strong knowledge of risk adjustment and compliance with ACA/MA guidelines.

You will collaborate with leadership to implement benchmarks, thresholds, and QA programs while maintaining timely, accurate audit records and reporting.

Qualifications

• Bachelor’s degree in relevant field preferred or 3-5 years related work experience in coding risk adjustment.
• Expert knowledge of Risk Adjustment.
• 1+ years experience in project management.
• Proficient in Microsoft and G-Suite applications; Excel skills are a must.
• Strong communication skills to interact at all levels of the organization.
• Ability to work independently and meet deadlines.
• Experience in initiating, developing and monitoring policies, internal control procedures and operating standards.
• Exceptional interpersonal skills and collaboration abilities.

Responsibilities

• Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors.
• Provide expertise as it relates to coding compliance for new and existing services, ensuring compliance with requirements.
• Communicate information through presentations, reports, and educational programs for QA specialists, vendors and staff.
• Report findings to Leadership in a timely, consistent manner and drive necessary changes.
• Support audit processes; document workflows and identify process improvements.
• Develop effective training on correct coding techniques and practices.
• Train new auditors and staff as needed.
• Create monthly updates for Management on program, quality, and initiatives.
• Maintain a robust quality assurance program to ensure coding accuracy.
• Play a key role in ensuring coding compliance and accuracy.
• Perform other duties as assigned.

Skills

Risk Adjustment

Project Management

Auditing

Quality Assurance

Communication

Training

Time Management

Problem Solving

Education

Bachelor’s degree in a relevant field

Tools

Excel

G-Suite

Job description

Datavant is seeking a Client Coding Project Manager to audit risk adjustment coding efforts and oversee daily auditing operations. The role focuses on education for QA specialists, vendors, and staff, and requires strong knowledge of risk adjustment and compliance with ACA/MA guidelines.

You will collaborate with leadership to implement benchmarks, thresholds, and QA programs while maintaining timely, accurate audit records and reporting.