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Profee Coding Consultant jobs in United States
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Datavant · 2 days ago

Profee Coding Consultant

Datavant is a data platform company and the world’s leader in health data exchange. The Profee Coding Consultant role involves providing essential consulting services and educational support to healthcare professionals on improved coding practices, ensuring compliance, and optimizing service outcomes in various care settings.
BiotechnologyBig DataHealthcareSoftwarePharmaceuticalBiopharmaClinical TrialsData IntegrationHealth Care
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Responsibilities

Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS)
Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines
Communicate professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues
Demonstrate strong written and verbal communication skills
Identify documentation improvement opportunities and coding issues
Use VPN access to ensure productive and flexible task completion
Uphold Datavant and HIM Division policies, promoting a culture of compliance and operational efficiency
Track continuing education credits, maintaining a high standard of professional expertise
Attend mandatory sponsored in-service and educational meetings, ensuring alignment with industry best practices for continual improvement
Adhere to the American Health Information Management Association's code of ethics, upholding professional standards and integrity

Qualification

HCC coding experienceAHIMAAAPC credentialsCPTICD-10 codingMedical terminology knowledgeComputerized encoding softwareWritten communication skillsVerbal communication skillsTime management skills

Required

Minimum of 2+ years of HCC coding experience, Strong knowledge of HEDIS and CPT II measures
Comprehensive understanding of medical terminology, abbreviations, pharmacology, and disease processes and Proven experience applying MEAT criteria (Monitoring, Evaluation, Assessment, Treatment) — required
AHIMA credentials required (RHIT, RHIA, or CCS) or AAPC credentials required (CPC or CRC)
Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills
Experience in computerized encoding and abstracting software
Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually

Benefits

401k Savings Plan
Company-provided equipment including computer, monitor, mouse, etc
Comprehensive training led by a credentialed professional coding manager
Exceptional service-style management and mentorship (we’re in this together!)

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 CapitalRoivant Sciences,Travis May
2020-10-08Series B· $40M
2018-04-30Series Unknown· $40.5M

Leadership Team

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Jasmin Phua
Head of Government Solutions
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Company data provided by crunchbase