Principal Toxicologist – Health Scientist – Risk Assessor
GSI Environmental Inc.
Auditing Team Lead, HCC Risk Adjustment Coding
Datavant
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $34 - $35 per hour
Job Level
Senior
About the role
- Auditing Team Lead is responsible for supporting the Auditing Supervisors in monitoring coders in quality and efficiency, serving as a resource and facilitator while assisting in monitoring quality and production of the auditing team.
- Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if they agree the coder’s initial coding was correct.
- Answers coding questions for assigned auditors; trending the questions to identify opportunities for additional training.
- Tracks audits completed per coder to ensure coders are receiving timely feedback.
- Support new hires released to the production team by being their auditor-buddy.
- Conducts one on one with coders focused on quality improvement.
- Assists in tracking coder KPI and quality metrics on a daily, weekly, and monthly basis.
- Coaches employees who are not meeting the expectations including recommending performance improvement initiatives as needed.
- Collaborates with the Quality Department to ensure 95% accuracy expectation is met.
- Report trends for education opportunities in both quality and productivity to management for review and/or action.
- Assists in auditing to meet the monthly production goals while maintaining quality at 95% or higher.
- Any other tasks required by management.
Requirements
- AHIMA certified credentials (CCS, CCS-P) or AAPC certified credentials (CPC, CPC-H, COC, CIC, CRC)
- Extensive knowledge of ICD -10
- 2 years' HCC coding or auditing experience
- 1+ years' Team Lead experience a plus
- 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
- Full Benefits including a 401k Savings Plan
- Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development
- Compensation for AAPC/AHIMA dues
- 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!)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ICD-10HCC codingauditingmedical terminologymedical abbreviationspharmacologydisease processesKPI trackingquality metricsperformance improvement
Soft skills
communicationtime managementflexibilityindependencecoachingcollaborationquality improvementproblem-solvingtrainingmonitoring
Certifications
AHIMA CCSAHIMA CCS-PAAPC CPCAAPC CPC-HAAPC COCAAPC CICAAPC CRC
