Datavant

Profee Audit Specialist - Remote - 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, mainly in auditing
  • 3+ years of experience in creating and presenting Professional Fee education
  • Multi-specialty coding/auditing expertise
  • CPC certification required, CPMA preferred
  • Proficient in Microsoft Office Suite, particularly Excel and PowerPoint
  • Maintain a 95% accuracy rate in coding and auditing
  • Experience with EMR systems like Epic and Cerner

Responsibilities

  • Perform coding audits of medical records using ICD-10-CM, CPT, HCPCS and modifiers
  • Explain identified coding changes with clear rationale and documentation references
  • Organize and prioritize multiple cases to ensure effective workflow and resolution
  • Develop and deliver virtual education programs for coders and professionals
  • Identify coding trends and create targeted educational content
  • Collaborate with leadership to develop educational materials and reference tools
  • Present coding and compliance topics as a subject matter expert

Benefits

  • Medical, Dental, Vision insurance
  • 401(k) Savings Plan with matching
  • 2 weeks of paid time off plus Holidays and Floating Holidays
  • Free Continuing Education Units (CEUs) annually
  • Stipend for education and professional dues (AHIMA/AAPC)
  • Provided equipment including monitor, laptop, and headset
  • Comprehensive training from a credentialed coding manager
  • Emphasis on mentorship and collaborative management
Full Job Description
As a Profee Auditing & Education 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! Auditor must be proficient in ProFee multiple specialties, including E/M, Advance Care Planning (ACP), and surgical. Ability to multi-task among multiple clients is required. 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 • Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution • Develops and delivers virtual coder education programs, including webinars, presentations, training materials, and educational resources to support coding accuracy, compliance, and professional development. • Identifies coding trends, audit findings, and knowledge gaps and develops targeted educational content to address opportunities for improvement. • Collaborates with leadership and clients to design, develop, and maintain educational materials, reference tools, and learning resources. • Serves as a subject matter expert by presenting coding and compliance topics to coders, providers, and other healthcare stakeholders. • Function in a professional, efficient and positive manner • Adhere to the American Academy of Professional Coder (AAPC)'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 • Keeps abreast of regulatory changes What You Need to Succeed: • 5+ years of Professional Fee coding and/or auditing with majority in auditing • 3+ years of Professional Fee education creation and presentation • Multi-Specialty coding/auditing experience • CPC • CPMA (preferred) • Proficient in Microsoft Office including but not limited to Excel, PowerPoint, OneNote • 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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