Auditing Team Lead, HCC Risk Adjustment Coding

Datavant is a data platform company and the worlds 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 worlds leading life sciences companies, government agencies, and those who deliver and pay for care.

By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.

Were looking for experienced and credentialed Auditing Team Lead, HCC Risk Adjustment Coding to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace!

What you will do:

• Auditing Team Lead is responsible for supporting the Auditing Supervisors in monitoring coders in quality and efficiency, serving as a resource and facilitator while assisting in monitoring quality and production of the auditing team.

• Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if they agree the coders initial coding was correct.

• Answers coding questions for assigned auditors; trending the questions to identify opportunities for additional training.

• Tracks audits completed per coder to ensure coders are receiving timely feedback.

• Support new hires released to the production team by being their auditor?buddy.

• Conducts one on one with coders focused on quality improvement.

• Assists in tracking coder KPI and quality metrics on a daily, weekly, and monthly basis.

• Coaches employees who are not meeting the expectations, recommending performance improvement initiatives as needed.

• Collaborates with the Quality Department to ensure 95% accuracy expectation is met.

• Report trends for education opportunities in both quality and productivity to management for review and/or action.

• Assists in auditing to meet the monthly production goals while maintaining quality at 95% or higher.

• Any other tasks required by management.

What you will bring to the table:

• AHIMA certified credentials (CCS, CCS-P) or AAPC certified credentials (CPC, CPC?H, COC, CIC, CRC)

• Extensive knowledge of ICD?10

• 2 years HCC coding or auditing experience

• 1+ years Team Lead experience a plus

• 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

• Ability to be flexible in work environment

• 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

Bonus points if:

• You have current Team Lead experience

• You have some auditing experience

What we offer:

• Full Benefits including a 401k Savings Plan

• Access to 20?24 free CEUs per year, provided by Datavant, to support your continuous professional development

• Compensation for AAPC/AHIMA dues

• Company?provided equipment including computer, monitor, mouse, etc

• Comprehensive training led by a credentialed professional coding manager

• Exceptional service?style management and mentorship (were in this together!)

We 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.

Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US?based roles) and industry best practices.

Were building a high-growth, high?autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). 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 level, responsibilities, skills, and experience for a specific job. The estimated pay range for this role is $34?$35 per hour.

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:

$34$35 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 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.

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