Datavant
HCC Risk Adjustment Coder PRN PPC
Job Summary
The role involves reviewing and coding medical records to identify diagnoses using industry-standard systems like ICD-10, ensuring compliance with relevant policies and maintaining high accuracy. Candidates need certifications such as AHIMA or AAPC credentials and at least two years of HCC coding experience, along with knowledge of medical terminology and pharmacology. The position is PRN, offering flexible coding hours, remote work capabilities, and requires working on multiple client projects as needed. The job emphasizes accuracy, compliance, and independence in a fast-paced healthcare data environment.
Required Skills
Benefits
Job Description
Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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. This is a PRN (as needed) position with no guarantee of work on a weekly basis.
What You Will Do:
- Review, analyze, and code 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, third party reimbursement policies, regulations and accreditation guidelines.
- Coders must meet and maintain a 95% coding accuracy rate.
- Any other task requested by leadership.
What You Need to Succeed:
- AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC).
- A minimum of 2 years HCC coding experience, while certified
- Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease processes.
- Ability to be flexible in the work environment.
- 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, problem solve, 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 use Microsoft Office with no training
- Ability to be able work on multiple client projects simultaneously, if needed
What We Offer:
- 401k plan with match
- Equipment: monitor, mini desktop (must hardwire), mouse, headset, and keyboard
- PRN hours- min 15 hours per week but can code up to/no more than 32 hours per week but no guarantee of work
- VERY flexible coding hours and can be done 7 days a week, 24/7
- Paid self-paced training
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 contact us at [email protected]. We will review your request for reasonable accommodation on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy.
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