Billing and Coding Specialist

Overview

Datavant is a data platform company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners.

By joining Datavant today, you’re stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare. We invest in our people and believe in hiring for high-potential and humble individuals who can rapidly grow their responsibilities as the company scales. Datavant is a distributed, remote-first team, and we empower Datavanters to shape their working environment in a way that suits their needs. 

Billing and Coding Specialists are responsible for the complete revenue cycle process of claims submission and coding for HCC in the provider practices with follow up which includes accurate interpretation of EOB's, working credit balances, and resolution of patient billing concerns. 

Responsibilities

You will:

• Keep current with third party payer rules/regulations and maintain the focus of processing clean claims and reducing days in accounts receivable.
• Enter charge posting from EOBs
• Follow-up charge review
• Responsible to process claims edits as needed
• Work credit balances
• Responds to patient questions and inquiries in regard to claims
• Data entry of claims into the computer system

Qualifications

What you will bring to the table:

• A minimum of 6 months to 1 year HCC coding experience AND profee and/or billing experience.
• High school diploma or equivalent required.
• CPC and/or CCS credentials  
• Familiarity with Hospital/Insurance computer system preferred.
• Must be able to effectively deal with insurance companies to understand benefits, deductibles, out of pocket expenses, and benefit limitations.
• Effective oral and written communication skills required.
• Knowledge of third-party payer billing rules and UB 04 and/or CMS 1500 bills preferred.
• Medical terminology and knowledge of CPT and diagnosis coding preferred.
• Excellent computers skills with the ability to work in multiple software packages and 10-key pad proficiency required.
• Detail orientated, analytical and ability to problem solve required.

Perks:

• 20-24 free CEUs per year
• AAPC/AHIMA dues compensation
• Company equipment will be provided to you (including computer, monitor, etc.)
• Comprehensive training lead by our leaders 
• PTO and Holiday Time
• Flexible schedules
• Medical, Dental, Vision and other benefits to choose from
• 401k program

We are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. 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.

Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks (competitive San Francisco rates for US-based roles) and industry best practices. 

We’re building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on  level, responsibilities, skills, and experience for a specific job. The estimated salary range for this role is $15.00-$20.00 per hour.

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your responses will be anonymous and used to help us identify areas of improvement in our recruitment process. (We can only see aggregate responses, not individual responses. In fact, we aren’t even able to see if you’ve responded or not.) Responding is your choice and it will not be used in any way in our hiring process.

This job is not eligible for employment sponsorship.

Equal Pay Act Minimum Range