Role overview

Qualifications

5+ years of professional fee coding and/or auditing
CPC certification (required)
CPMA certification (preferred)
Experience with Epic, Cerner, and other EMRs with a 95% accuracy rate

Responsibilities

Performs professional fee coding audits of medical records using ICD-10-CM, CPT, HCPCS, and modifiers for accurate coding assignment
Provides concise rationale for identified changes with references and documentation locations
Keeps abreast of regulatory changes and organizes/prioritizes multiple cases concurrently to ensure workflow and timely case resolution
Provides coder education through the auditing process and adheres to AHIMA's code of ethics and professional standards

Key facts

Remote from: United States
Full time
Senior (5-10 years)
Audit Director
86 - 86K yearly
English

Hard skills

Medical Coding ICD 503 Cppunit Medflow EMR Medical Record Management Code Analysis Cerner EHR Regulatory Compliance Medical Record Management Quality Assessment Compliance Management Clinical Documentation Process Management Operational Excellence

Other skills

Decision Making
Professionalism
Communication
Leadership
Ethical Standards And Conduct
Time Management
Teamwork
Customer Service
Organizational Skills
Detail Oriented
Reliability
Physical Flexibility
Prioritization
Willingness To Learn

About the company

Datavant

Digital Health & Health Tech

Datavant makes the world's health data secure, accessible, and usable. Datavant is a data platform company for healthcare. We drive data connectivity into action by offering a proprietary platform and network that deliver critical solutions across the healthcare ecosystem. Through proprietary technology, the world's most robust healthcare network, and value-added services we protect, connect, and deliver the world's health data. Datavant enables more than 60 million healthcare records to move between 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. To learn more about Datavant, visit datavant.com.

Company details

Company typeStartup

IndustryDigital Health & Health Tech

Company size5001 - 10000

Links

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Job description

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.

********2,500 Sign on Bonus***********

What We’re Looking For:

As a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace!

What You Will Do:

Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment.
Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc
Keeps abreast of regulatory changes
Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution
Provides coder education via the auditing process
Function in a professional, efficient and positive manner
Adhere to the American Health Information Management Association (AHIMA)’s code of ethics
Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
High complexity of work function and decision making
Strong organizational, teamwork, and leadership skills

What You Need to Succeed:

5+ years of Professional Fee coding and/or auditing
CPC (required)
CPMA (preferred)
Maintain 95% accuracy rate
Experience with various software including Epic, Cerner, and other prevalent EMRs

What We Offer:

Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays
Free CEUs every year
Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable
Equipment: monitor, laptop, mouse, headset, and keyboard
Comprehensive training led by a credentialed professional coding manager
Exceptional service-style management and mentorship (we’re in this together!)

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:

$35—$45 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. Know Your Rights, 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, 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. Requests for reasonable accommodations will be reviewed on a case-by-case basis.

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