Datavant
Healthcare
ProfeeAuditSpecialistPRN
Neural analysis suggests this role is
optimal for Mid candidates.
“Profee Audit Specialist PRN at Datavant. Skills: Professional Fee coding audits, coding quality, compliance assessments, external payer reviews, coding education, interim coding management, coding workflow operations reviews, accurate coding assignment, coder education. 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”
What You'll Achieve.
Maintain 95% accuracy rate
Industry & Context.
post-offer health screenings, proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc., job discrimination, employment sponsorship
What They're Looking For.
Must Have
5+ years of Professional Fee coding and/or auditing, Maintain 95% accuracy rate
Nice to Have
CPMA
What You'll Do.
Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM
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
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
commitment to excellence and commitment to profession
High complexity of work function and decision making organizational
and leadership skills
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. ************ Currently offering 1,000 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! 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
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