Auditor, HCC Risk Adjustment Coding

<div class="content-intro"><p>Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. <br><br>By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.</p></div><p><strong>What We’re Looking For:</strong></p> <p>As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status and confirming the accuracy of said work.</p> <p><strong>What You Will Do:</strong></p> <ul> <li>Audit coded charts assigned by quality supervisor per the client guidelines</li> <li>Ability to move from different sets of client guidelines with minimal difficulty</li> <li>Maintain a 95% quality average at a diagnosis level</li> <li>Answer rebuttals entered on the auditor by coders and or auditors</li> <li>Participate in weekly coding project review meetings</li> <li>Any other tasks asked by quality supervisor</li> </ul> <p><strong>What You Need to Succeed: </strong></p> <ul> <li>2 years' HCC Coding experience</li> <li>2 years' HCC Auditing experience</li> <li>Extensive knowledge of ICD -10</li> <li>High school diploma or GED equivalent required</li> <li>AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)</li> <li>A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease processes</li> <li>Ability to work in a fast-paced production environment while maintaining high quality</li> <li>Must be able to follow instructions, meet deadlines and work independently</li> <li>Ability to be flexible in work environment</li> <li>Excellent written and verbal communication skills, ability to work in a remote environment and time management skills</li> <li>Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data</li> </ul> <p><strong>What We Offer:</strong></p> <ul> <li>{{Comprehensive health, dental, and vision insurance}}</li> <li>{{Paid time off (PTO) plan, offering X days per year, plus holidays}}</li> <li>{{Retirement savings plan}}</li> <li>{{Flexible work arrangements}}</li> <li>{{Opportunities for career growth and development}}</li> <li>{{Employee wellness programs}}</li> <li>{{Additional benefits based on location and role}}</li> <li>{{Any unique or company-specific perks, such as paid volunteer days, travel opportunities, or company discounts}}</li> </ul> <p> </p><div class="content-pay-transparency"><div class="pay-input"><div class="description"><p><span data-sheets-root="1">Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. </span></p></div><div class="title">The estimated base pay range per hour for this role is:</div><div class="pay-range"><span>$29</span><span class="divider"></span><span>$33 USD</span></div></div></div><div class="content-conclusion"><p><span data-sheets-root="1">To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these req ... (truncated, view full listing at source)