HCC Risk Adjustment Coder

Datavant
•$25 - $27•Remote

About The Position

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) 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 status.

Requirements

  • A minimum of 2 years' HCC coding.
  • Extensive knowledge of ICD-10.
  • Ability to be flexible in the work environment.
  • 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.
  • 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.
  • Must be able to commit to 40 hours weekly.
  • Ability to be able work on multiple client projects.
  • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC). We are accepting CPC-As but you must have your CRC as well

Responsibilities

  • The certified coder reviews, analyzes, and codes diagnostic information in a patient’s medical record based on client specific guidelines for the project.
  • The coder will ensure compliance with established ICD-10 CM, DRGs coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.
  • Coders must meet and maintain a 95% coding accuracy rate.
  • Any other task requested by management.

Benefits

  • 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 their level, responsibilities, skills, and experience for a specific job.
  • This job is not eligible for employment sponsorship.
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