Auditor, HCC Risk Adjustment
Datavant
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $29 - $33 per hour
Job Level
Mid-LevelSenior
About the role
- Review medical records to identify and code diagnoses using a standardized system
- Ensure accurate representation of patient conditions for risk adjustment and reimbursement purposes
- 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.
Requirements
- 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.
Benefits
- Not specified in the job opening
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
HCC codingHCC auditingICD-10 codingmedical terminologypharmacologydisease processes
Soft skills
written communicationverbal communicationtime managementadaptability
Certifications
RHIARHITCCSCPCCPC-HCOCCICCRC