Auditor, HCC Risk Adjustment Coding

Datavant

11h•$29 - $32•Remote

About The Position

As an HCC (Hierarchical Condition Category) 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.

Requirements

2 years' HCC Coding experience
2 years' HCC Auditing experience
Extensive knowledge of ICD -10
High school diploma or GED equivalent required
AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)
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

Responsibilities

Audit coded charts assigned by quality supervisor per the client guidelines
Ability to move from different sets of client guidelines with minimal difficulty
Maintain a 95% quality average at a diagnosis level
Answer rebuttals entered on the auditor by coders and or auditors
Participate in weekly coding project review meetings
Any other tasks asked by quality supervisor