Datavant
healthcare
ClientCodingProjectManager(CCPM)
Neural analysis suggests this role is
optimal for Mid candidates.
“Client Coding Project Manager (CCPM) at Datavant. Skills: Risk Adjustment, Project Management, Quality Assurance. Perform audits pertaining to risk adjustment coding efforts. Responsible for daily operations pertaining to auditing functions”
What You'll Achieve.
Provide superior quality by performing audits; Provide superior customer experience; Ensure compliance with organizational, federal, state, and third-party requirements; Ensure that appropriate changes are implemented; Ensure work flows and results are properly documented and maintained; Ensure coding compliance and accuracy
Industry & Context.
Research; Problem resolution
Sitting or standing for duration of work shift, Post-offer health screenings, Proof and/or completion of various vaccinations, Not eligible for employment sponsorship
What They're Looking For.
Must Have
Bachelor’s degree in relevant field of study preferred or 3-5 years related work experience, coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA, Expert knowledge of Risk Adjustment, 1+ years experience in project management, Research and problem resolution skills, Proficient in Microsoft and G-Suite applications, Excel skills are a must, Exceptional interpersonal relationship skills, Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement, communication skills to effectively interact all levels of the organization, business unit leaders, and staff in a tactful and positive manner, Exceptional interpersonal skills, proven success in complex and ambiguous environments, Ability to work independently, with high productivity, and regularly meet deadlines, Demonstrates excellent written and verbal communication skills conforming to all rules of punctuation, grammar, diction and professional style, Experience in initiating, developing and monitoring policies, internal control procedures and operating standards
Nice to Have
Bachelor’s degree in relevant field of study
What You'll Do.
Perform audits pertaining to risk adjustment coding efforts
Responsible for daily operations pertaining to auditing functions
Educate internally and externally on opportunities for improvement
establish acceptable thresholds
Monitor performance of Risk Adjustment Operations
Provide expertise as it relates to coding compliance
Assist in methods to effectively communicate information
Report findings to Leadership
Support audit processes
Identify process improvements
Assist in development of training program
Assist with training new auditors
Create methods to share information
Maintain a quality assurance program
Ensure coding compliance and accuracy
Perform other duties as assigned
How You'll Work.
Team & Collaboration
Work closely with Management; Educate QA specialists, coding vendors and staff; Interact with all levels of the organization, business unit leaders, and staff
Communication Scope
Written communication; Verbal communication; Presentations; Reports; Educational programs; Memoranda
Process & Methodology
Project management, Initiating policies, Developing policies, Monitoring policies, Internal control procedures, Operating standards
Full Job Description
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. What We’re Looking For: The Client Coding Project Manager will provide superior quality by performing audits pertaining to risk adjustment coding efforts. They will be responsible for daily operations pertaining to auditing functions as assigned. The CCPM will provide superior customer experience by educating internally and externally on opportunities for improvement discovered during auditing. This individual will work closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. What You Will Do: Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors. Provides expertise as it relates to coding compliance for new and existing services, while ensuring compliance with organizational, federal, state, and third-party requirements. Assist in the methods to effectively communicate information through presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff. Report findings to Leadership in a timely, consistent and effective manner ensuring that appropriate changes are implemented. Support audit processes ensuring work flows and results are properly documented and maintained. Identify process improvements as n
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