Talent.com
Auditor, HCC Risk Adjustment Coding - Full Time - Remote

Auditor, HCC Risk Adjustment Coding - Full Time - Remote

DatavantColumbia, SC, US
job_description.job_card.1_day_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters.remote
job_description.job_card.job_description

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.

Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.

By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.

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. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health stats,

You will :

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.

What you will bring to the table :

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.

What We Offer :

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 ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

The estimated base pay range per hour for this role is

$29-$33 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.

This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (https : / / www.datavant.com / eeo-commitment-statement) . Know Your Rights (https : / / www.eeoc.gov / know-your-rights-workplace-discrimination-illegal) , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (https : / / peopleteam.datavant.com / portal / en / newticket?departmentId=248697000248790029&layoutId=248697000248795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (https : / / app.tango.us / app / workflow / Greenhouse Locating-Requisition-ID-2c7d618c8a8a423da4330ff12330695e) . Requests for reasonable accommodations will be reviewed on a case-by-case basis.

For more information about how we collect and use your data, please review our Privacy Policy (https : / / www.datavant.com / privacy-policy) .

serp_jobs.job_alerts.create_a_job

Coding Auditor • Columbia, SC, US

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Medicaid Compliance Assistant

Medicaid Compliance Assistant

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Medicaid Pending Compliance Assistant.Key Responsibilities : Assist with tracking and maintaining Medicaid Pending reports for assigned Skilled Nursing Facilities Follo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Premium Audit Consultant III

Premium Audit Consultant III

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Premium Audit Consultant III (Remote).Key Responsibilities Conduct virtual and occasional on-site audits of policyholders' business records to determine proper risk cla...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
State Licensed Actuary

State Licensed Actuary

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for an Actuary to join their Risk team.Key Responsibilities Oversee the design and enhancement of pricing and underwriting models in partnership with Underwriting Leverage s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Compliance Officer I

Compliance Officer I

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Officer I - Vendor Management Oversight.Key Responsibilities Analyze laws and regulations, and assist in developing and revising compliance policies and proc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Claims Quality Auditor

Claims Quality Auditor

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Quality Auditor to perform comprehensive audits of claims and identify incorrect payments. Key Responsibilities Conduct quality audits of claims using various sou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Workers' Compensation Claims Examiner

Workers' Compensation Claims Examiner

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Examiner, Medical Only.Key Responsibilities Investigate workers' compensation claims for medical care without lost wages Approve medical treatments, schedule ap...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Life Insurance QA Lead

Life Insurance QA Lead

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Life Insurance Software QA Lead to oversee testing efforts for transformation projects in the life insurance domain. Key Responsibilities : Lead and manage the testing ph...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Seasonal Tax Preparer Walmart

Seasonal Tax Preparer Walmart

Jackson Hewitt - 1906Lexington, SC, US
serp_jobs.job_card.full_time
The ideal candidate is a resourceful.Someone who can adapt quickly to changing priorities and loves connecting to clients in a high-energy environment. Situated within one of the largest retailers, ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Compliance Administrator

Compliance Administrator

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Compliance Administrator to ensure the integrity and compliance of its national Field Service Partner network. Key Responsibilities Request and collect updated insurance...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Lead Auditor, Quality Management System

Lead Auditor, Quality Management System

Scout MotorsColumbia, SC, US
serp_jobs.job_card.full_time
Lead Auditor, Quality Management System.Here at Scout Motors, we're carrying forward the heritage of one of the most iconic American vehicles in history. One that forged the path for future generati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Accreditation Specialist

Accreditation Specialist

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for an Accreditation Specialist to lead quality improvement efforts and ensure NCQA Health Plan Accreditation. Key Responsibilities : Develops and prepares documentation for NC...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Temporary Regulatory Compliance Consultant

Temporary Regulatory Compliance Consultant

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Temporary Regulatory Compliance Consultant in Risk Consulting (Financial Services).Key Responsibilities Manage and deliver regulatory compliance assessments for financi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Risk Coordinator

Risk Coordinator

The Nuclear CompanyColumbia, SC, US
serp_jobs.job_card.full_time
The Nuclear Company is the fastest growing startup in the nuclear and energy space creating a never before seen fleet-scale approach to building nuclear reactors. Through its design-once, build-many...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Experienced Tax Preparer

Experienced Tax Preparer

Jackson Hewitt - 1906Lexington, SC, US
serp_jobs.job_card.full_time
Join our team for an exciting opportunity that offers.Leverage your tax expertise, business background, and knowledge of tax laws to propel you to the next level. You will provide exceptional client...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Entry Level Tax Preparer

Entry Level Tax Preparer

Jackson Hewitt - 1906Lexington, SC, US
serp_jobs.job_card.full_time
Seeking a job that fits around your life? Look no further! We provide.Embrace the possibilities by adding this side gig or growing a new career at Jackson Hewitt and apply today!.You will also have...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Audit Support Specialist

Audit Support Specialist

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for an Audit Support COB and DM.Key Responsibilities Assist in daily administrative activities within the Coordination of Benefits and Data Mining departments Collaborate wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Pre-Funding QC Specialist

Pre-Funding QC Specialist

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Pre-Funding QC Specialist to analyze mortgage loans for compliance prior to closing.Key Responsibilities Perform pre-funding loan analysis to ensure compliance with req...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Regulatory Operations Analyst

Regulatory Operations Analyst

VirtualVocationsColumbia, South Carolina, United States
serp_jobs.job_card.full_time
A company is looking for a Regulatory Operations Analyst (Non-Financial Regulatory Reporting).Key Responsibilities Produce, validate, and submit non-financial regulatory reports Collaborate with...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Compliance Associate I

Compliance Associate I

Palmetto State Armory LWest Columbia, SC, US
serp_jobs.job_card.full_time
As a Compliance Associate, you are responsible for assisting with protecting assets, ensuring compliance with established internal control procedures, verifying assets (firearms), communicating aud...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Power Generation- Senior NERC Compliance Specialist

Power Generation- Senior NERC Compliance Specialist

Dominion EnergyCayce, SC, US
serp_jobs.job_card.full_time
Power Generation- Senior NERC Compliance Specialist.Dominion Energy South Carolina is seeking a candidate who will be responsible for independently leading the coordination and administration of Do...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30