Auditor, HCC Risk Adjustment Coding

About the role

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.

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
• Perform any other tasks asked by quality supervisor

Requirements

• 2 years' HCC Coding experience
• 2 years' HCC Auditing experience
• Extensive knowledge of ICD-10
• High school diploma or GED equivalent required
• AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)
• A 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

Benefits

• Comprehensive health, dental, and vision insurance
• Paid time off (PTO) plan
• Retirement savings plan
• Flexible work arrangements
• Opportunities for career growth and development
• Employee wellness programs

Pay

The estimated total cash compensation range for this role is $29—$32 USD.

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 requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.