Datavant
Healthcare
ProFeeAuditSpecialist-FT
Neural analysis suggests this role is
optimal for Mid+ candidates.
“ProFee Audit Specialist- FT at Datavant. Skills: Professional Fee coding, Auditing, Medical records. Perform Professional Fee coding audits. Audit medical records”
What You'll Achieve.
Maintain 95% accuracy rate
Industry & Context.
Identify solutions; Present solutions
What They're Looking For.
Must Have
5+ years Professional Fee coding, 5+ years auditing, CPC required, Maintain 95% accuracy rate
Nice to Have
CPMA preferred, Multispeciality experience, Experience handling multiple client guidelines, Shared External and Internal quality auditor
What You'll Do.
Perform Professional Fee coding audits
Audit medical records
Provide rationale for changes
Keep abreast of regulatory changes
Organize and prioritize cases
Ensure departmental workflow
Ensure case resolution
Provide coder education
Function in a professional manner
Function in an efficient manner
Function in a positive manner
Adhere to AHIMA's code of ethics
Be customer-service focused
Exhibit professionalism
Exhibit dependability
Exhibit desire to learn
Exhibit commitment to excellence
Exhibit commitment to profession
How You'll Work.
Team & Collaboration
Shared External auditor; Shared Internal auditor
Communication Scope
Concise rationale
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. ****** 2,500 Sign on Bonus******** What We’re 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: A candidate with multispeciality experience, and experience handling multiple client guidelines. This candidate will be a shared External and Internal quality auditor. 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
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