Datavant

ProFee Audit Specialist- FT

Datavant$72K — $93K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years of Professional Fee coding and/or auditing experience
  • CPC certification is required
  • CPMA certification is preferred
  • Experience with Epic, Cerner, and other EMRs
  • Proven ability to maintain a 95% accuracy rate

Responsibilities

  • Perform coding audits of medical records using ICD-10-CM, CPT, HCPCS, and modifiers
  • Provide detailed rationale for coding changes
  • Stay updated on regulatory changes
  • Organize and prioritize multiple cases to ensure workflow efficiency
  • Educate coders through the auditing process
  • Exhibit professionalism and a positive attitude
  • Adhere to AHIMA's code of ethics

Benefits

  • Medical, Dental, and Vision coverage
  • 401k Savings Plan with company match
  • 2 weeks of paid time off plus paid and floating holidays
  • Free Continuing Education Units (CEUs) annually
  • Stipend for education and professional dues
  • Provided equipment to work effectively
  • Comprehensive training and mentorship from experienced professionals
Full Job Description
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 with multispeciality experience, and experience handling multiple client guidelines. This candidate will be a shared External and Internal quality auditor. 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 with multispeciality experience, and experience handling multiple client guidelines. This candidate will be a shared External and Internal quality auditor. 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. 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

About Datavant

Datavant is a healthcare technology company that specializes in connecting and standardizing healthcare data from various sources. The company's products are used to improve patient care, accelerate drug development, and enhance clinical research. Datavant's platform, called the Datavant Platform, uses artificial intelligence and machine learning to identify and link patient data across different sources while maintaining patient privacy. The company was founded in 2017 by Travis May and is headquartered in San Francisco, California.
Learn more about Datavant
Size
100 employees
Industry
Founded
2017

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