Auditor, HCC Risk Adjustment Coding

Datavant

7d • $29 - $33 • Remote

About The Position

The HCC (Hierarchical Condition Category) Auditor reviews coded medical records to ensure patient conditions are accurately represented for risk adjustment and reimbursement. The role translates clinical documentation into precise codes reflecting the complexity and severity of a patient’s health status and verifies the accuracy of that work. The auditor works across client guidelines, maintains quality standards, responds to rebuttals, and participates in coding project reviews.

Requirements

• At least 2 years of HCC coding experience.
• At least 2 years of HCC auditing experience.
• Extensive knowledge of ICD-10.
• High school diploma or GED equivalent.
• AHIMA certification (RHIA, RHIT, CCS) or AAPC certification (CPC, CPC-H, COC, CIC, or CRC).
• Strong knowledge of medical terminology, medical abbreviations, pharmacology, and disease processes.
• Ability to work in a fast-paced production environment while maintaining high quality.
• Ability to follow instructions, meet deadlines, and work independently.
• Flexibility in the work environment.
• Excellent written and verbal communication skills, ability to work remotely, and time management skills.
• Working knowledge of business use of computer hardware and software to support effective, high-quality processing and data security.

Responsibilities

• Audit coded charts assigned by the quality supervisor according to client guidelines.
• Adapt to different sets of client guidelines with minimal difficulty.
• Maintain a 95% quality average at the diagnosis level.
• Answer rebuttals entered by coders and/or auditors.
• Participate in weekly coding project review meetings.
• Perform other tasks requested by the quality supervisor.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED