Auditor, HCC Risk Adjustment jobs in United States
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Datavant · 4 hours ago

Auditor, HCC Risk Adjustment

Datavant is a data platform company and the world’s leader in health data exchange. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes.

BiopharmaClinical TrialsData IntegrationHealth CareSoftware
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Responsibilities

Provide education through detailed feedback within audits
Provide coders’ on-going education for any identified missed/incorrect ICD-10 codes or incorrect/missing/inappropriate client-based notes
Maintain communication with both Coders as well as management on errors, trends, educational opportunities, etc
Other tasks required by management

Qualification

HCC coding experienceHCC auditing experienceICD-10 codingAHIMA certificationAAPC certificationMedical terminology knowledgeBusiness computer knowledgeCommunication skillsTime management skills

Required

Minimum 3 years of HCC coding experience
Minimum 2 years of HCC Auditing experience
High school diploma or GED equivalent
AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)
Proficient in ICD-10 coding
Experienced in HCC coding across Medicare, commercial, and Medicaid sectors
In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes
Ability to excel in a fast-paced production environment while upholding high-quality standards
Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills
Working knowledge of the business computer hardware and software to enhance data processing effectiveness and security

Company

Datavant

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Datavant protects, connects, and delivers the world’s health data to power better decisions and advance human health.

Funding

Current Stage
Late Stage
Total Funding
$80.5M
Key Investors
Transformation Capital
2020-10-08Series B· $40M
2018-04-30Series Unknown· $40.5M

Leadership Team

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Carter Smith
Strategic Partnerships
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Jasmin Phua
Head of Health Systems and Government Solutions
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