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.
What We're Looking For:
As a Professional 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.
What You Will Do:
Perform 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.
Provide rich and concise rationale explaining the reasoning behind any identified changes, including specific references and documentation location.
Keep abreast of regulatory changes.
Organize and prioritize multiple cases concurrently to ensure departmental workflow and case resolution.
Provide 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.
Be customer‑service focused and exhibit professionalism, flexibility, dependability, a desire to learn, commitment to excellence and professional growth.
Handle high complexity of work function and decision making.
Demonstrate strong organizational, teamwork, and leadership skills.
What You Need to Succeed:
5+ years of Professional Fee coding and/or auditing experience.
CPC certification (required).
CPMA certification (preferred).
Maintain a 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, 401(k) savings plan with match, 2 weeks of paid time off, 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.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
Estimated base pay per hour: $35—$45 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 on a case‑by‑case basis, based on disability, medical contraindications, pregnancy, or religious considerations.
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. Knowledge of your rights is encouraged, as well as resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not 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. 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 one by selecting the "Interview Accommodation Request" category. You will need your requisition ID when submitting your request; instructions for locating it are available.
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