Pro Fee Audit Specialist Full Time
Pro Fee Audit Specialist Full Time
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$ 35 - 45
1 Vacancy
Job Description
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.
What Were Looking For:
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: Skill set in Pro Fee ED Outpatient Facility ED and Injections and Infusions*****
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: Skill set in Pro Fee ED Outpatient Facility ED and Injections and Infusions*****
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 (were in this together!)
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 an Hour
Pay ranges for this job title may differ based on location responsibilities skills experience and other requirements of the role.
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 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 arent even able to see whether youve responded.) 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 contact us at. We will review your request for reasonable accommodation on a case-by-case basis.
For more information about how we collect and use your data please review our .
Required Experience:
Unclear Seniority
Employment Type
Full-Time
