HCC Risk Adjustment Coding Auditor

Join Datavant, a leading data platform company revolutionizing health data exchange. Our mission ensures that every healthcare decision is guided by the right data at the right time and in the right format.

As the world's foremost health data network, our platform enables secure, accessible, and actionable data, empowering healthcare stakeholders including life sciences firms, government agencies, and care providers.

By becoming part of Datavant's high-performing, values-driven team, you'll contribute to innovative technology solutions that address some of healthcare's most challenging issues. Our diverse team brings various professional, educational, and life experiences together to achieve our ambitious goals for the healthcare sector.

What You'll Be Doing :

Conduct audits of coded medical charts according to the client's guidelines as assigned by the quality supervisor.

Navigate multiple client guidelines with ease.

Maintain a 95% quality average at the diagnosis level during audits.

Respond to rebuttals entered by coders or auditors regarding your assessments.

Participate in weekly coding project review meetings to enhance overall performance.

Complete any additional tasks assigned by the quality supervisor.

Qualifications for Success :

Minimum of 2 years of HCC coding experience.

2 years of auditing experience in HCC.

In-depth understanding of ICD-10 coding.

High school diploma or equivalent is required.

AHIMA or AAPC certification (such as RHIA, RHIT, CCS, CPC, CPC-H, COC, CIC, or CRC).

Strong foundation in medical terminology, abbreviations, pharmacology, and disease processes.

Able to thrive in a fast-paced production setting while ensuring high quality.

Demonstrated ability to follow instructions, meet deadlines, and work independently.

Flexibility to adapt to a dynamic work environment.

Exceptional written and verbal communication skills, suitable for remote work along with excellent time management capabilities.

Proficient with the business use of computer hardware and software to enhance data processing and security.

What We Offer :

Comprehensive health, dental, and vision insurance.

Generous paid time off (PTO) plan along with holidays.

Retirement savings plan to secure your financial future.

Flexible work arrangements to maintain work-life balance.

Opportunities for career growth and development.

Employee wellness programs to support your health.

Additional benefits based on role and location.

Unique perks, such as paid volunteer days or employee discounts.

Pay ranges for this position may vary based on skills, experience, and responsibilities. The estimated hourly pay for this role is between $29 and $33.

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof of vaccinations, such as flu, Tdap, COVID-19, etc. Requests for exemptions will be evaluated on a case-by-case basis.

This job is not eligible for employment sponsorship.

Datavant is an Equal Employment Opportunity employer dedicated to a discrimination-free work environment. All qualified applicants will receive consideration without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or any other protected status.

If you need accommodations during the application process, please request them accordingly. Your data will be collected and used in alignment with our Privacy Policy.