HIM ProFee Auditing Specialist FT
Overview
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. This role is fully remote with a flexible schedule. By joining Datavant today, you’re joining a high-performing, values-driven team working to tackle healthcare’s most complex problems with technology-forward solutions. What We’re Looking For As a Profee Auditing Specialist, you will address consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. You will offer meaningful information tailored to exceed customer expectations and identify solutions for customer issues.
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 rationale explaining the reasoning behind identified changes, including references and location of documentation.
- 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.
- Functions in a professional, efficient and positive manner.
- Adheres to the American Health Information Management Association (AHIMA) code of ethics.
- Maintains customer-service focus and exhibits professionalism, flexibility, dependability, and a commitment to learning and to the profession.
- Demonstrates high complexity in work function and decision making.
- Shows 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 with 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.
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. Exemptions will be reviewed on a case-by-case basis depending on state law and individual circumstances. This position is not eligible for employment sponsorship. Equal Employment Opportunity and Accommodations 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. For more information, please review our EEO Commitment Statement and Know Your Rights resources linked in our notices. Datavant is committed to providing reasonable accommodations to individuals with disabilities. If you need an accommodation during the employment process, please request it through the appropriate channels. For more information about how we collect and use your data, please review our Privacy Policy. #J-18808-Ljbffr Salary: USD 70000 - 90000 per year