The Inpatient Coding Specialist codes acute-care diagnoses and procedures, applying ICD-10-CM, ICD-10-PCS, and MS-DRG knowledge while meeting client productivity targets and maintaining coding quality of 95% or greater.
HCC Risk Adjustment Coder
📜 Description
- Apply ICD-10-CM and DRG coding guidelines, reimbursement policies, regulations, and accreditation requirements.
- Maintain a coding accuracy rate of 95%.
- Work across multiple client projects and complete other tasks as requested by management.
🛠️ Requirements
- Minimum of 2 years' HCC coding experience.
- Extensive knowledge of ICD-10 and medical terminology, abbreviations, pharmacology, and disease processes.
- AHIMA credentials (RHIA, RHIT, CCS) or AAPC credentials (CPC, CPC-H, COC, CIC, or CRC); CPC-A candidates must also have CRC.
- Able to work in a fast-paced production environment while maintaining quality, follow instructions, meet deadlines, and work independently.
- Strong written and verbal communication, time management, and computer hardware and software skills.
- Able to commit to 40 hours weekly and work in a remote environment.
✨ Benefits
- Review, analyze, and code diagnoses in patient medical records using client-specific guidelines.
Full 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.
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.
You will:
- 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.
What you will bring to the table:
- 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**
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. 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.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
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.
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.
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