Profee Audit Specialist - FT

Datavant
United States
Remote

Who this role is best for

Strong fit for experienced coding auditors who thrive in remote settings and have multi-specialty expertise.

Best fit for

  • Experienced coding auditors with multi-specialty background and remote work flexibility
    — “A candidate that has worked with multi-specialties”
  • Professionals who can balance high complexity tasks with strong organizational skills
    — “High complexity of work function and decision making”
  • Individuals with a commitment to compliance and a deep understanding of medical coding standards
    — “Adhere to the American Health Information Management Association (AHIMA)’s code of ethics”

Things to consider

  • The role requires a 20-hour weekly commitment and availability during normal business hours
    — “prefer 20 hours/week. Prefer a candidate with availability within normal business hours”
  • Candidates must maintain a high accuracy rate and keep up with regulatory changes
    — “Maintain 95% accuracy rate”
  • Health screenings and vaccinations may be required depending on client needs
    — “require post-offer health screenings and proof and/or completion of various vaccinations”

How to stand out

  • Emphasize experience with ICD-10-CM, CPT, HCPCS, and EMR systems like Epic and Cerner
    — “Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers”
  • Highlight ability to provide concise, well-documented rationale for coding changes
    — “Provides rich and concise rationale explaining the reasoning behind any identified changes”
  • Demonstrate leadership and teamwork experience in coding or auditing roles
    — “Strong organizational, teamwork, and leadership skills”
  • Showcase a history of coder education and proactive problem-solving
    — “Provides coder education via the auditing process”
  • Demonstrate staying current with regulatory changes in coding compliance
    — “Keeps abreast of regulatory changes”
Pace · SteadyCollaboration · MediumAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • accurate coding audits
  • effective coder education
  • high departmental workflow
Typical background
5+ years of professional fee coding and/or auditingCPC certification

Skills & requirements

Required

CodingAuditingProfessional Fee CodingIcd-10-cmCPTHcpcsCoding EducationOrganizational SkillsTeamworkLeadership

Preferred

Multi-specialties ExperienceAvailability Within Normal Business Hours

Stack & domain

Icd-10-cmCPTHcpcsCoding ReferencesEpicCernerCustomer ServiceTeamworkLeadershipCPCCPMAHealthcareCodingAuditing

About the role

Original posting from Datavant

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.

  • Currently offering 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!

********Preferred:  A candidate that has worked with multi-specialties. Prefer a candidate with availability within normal business hours, prefer 20 hours/week.*********

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

********Preferred:  A candidate that has worked with multi-specialties. Prefer a candidate with availability within normal business hours, prefer 20 hours/week.*********

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.

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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Source: Datavant careers

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