HCC PRN Auditor, PPC

HCC PRN Auditor, PPC

Job Locations US-Remote

Requisition ID

2024-37281

of Openings

Category (Portal Searching)

HCC Coding

Position Type (Portal Searching)

Equal Pay Act Minimum Range

This position is eligible for pay on a per chart count basis ("piece-rate" pay) $4.50-$15 depending on page count per chart.

Overview

Datavant is a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely.

We protect, connect, and deliver the world's health data to power better decisions and advance human health. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners.

By joining Datavant today, you're stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare.

We hire for three traits : we want people who are smart, nice, and get things done. We invest in our people and believe in hiring for high-potential and humble individuals who can rapidly grow their responsibilities as the company scales.

Datavant is a distributed, remote-first team, and we empower Datavanters to shape their working environment in a way that suits their needs.

As an HCC (Hierarchical Condition Category) coding auditor you will review medical records that have been coded in 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 status and confirming the accuracy of said work.

This is a PRN (as needed) position with no guarantee of work on a weekly basis.

Responsibilities

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.
• Complete other duties as assigned.

Qualifications

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.

This position is not Benefits eligible since it is not a full-time position, except you may elect to enroll in the Company's 401(k).

Additionally, depending on applicable state law, you may be eligible for paid sick leave.

We are committed to building a diverse team of Datavanters who are smart, nice, and get things done, where every Datavanter is empowered to bring their authentic self to their work.

We are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. 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.

Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices.

We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact.

This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer).

The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on level, responsibilities, skills, and experience for a specific job.

This position is eligible for pay on a per chart page count basis ("piece-rate" pay) $5 - $50 depending on page count per chart.

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your responses will be anonymous and used to help us identify areas of improvement in our recruitment process.

We can only see aggregate responses, not individual responses. In fact, we aren't even able to see if you've responded or not.

Responding is your choice and it will not be used in any way in our hiring process.

This job is not eligible for employment sponsorship.

Equal Pay Act Minimum Range

This position is eligible for pay on a per chart count basis ("piece-rate" pay) $4.50-$15 depending on page count per chart.

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