Profee Audit & Education Specialist - FT
Summary
Audits medical coding records for accuracy and compliance, educates coders, and resolves payer issues in healthcare data systems.
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. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.
********2,500 Sign on Bonus***********
What We’re Looking For:
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!
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.
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 status. To 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.
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