HCC Risk Adjustment Coder

Overview

Datavant is a data logistics company for healthcare whose products and solutions enable organizations to move and connect data securely. We protect, connect, and deliver the world’s health data to power better decisions and advance human health. 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 hire for three traits: we want people who are smart, nice, and get things done. We invest in our people and believe in hiring 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.

As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status.

Responsibilities

You will:

• • The certified coder reviews, analyzes, and codes diagnostic information in a patient’s medical record based on client specific guidelines for the project.
  • The coder will ensure compliance with established ICD-10 CM, DRGs coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.
  • Coders must meet and maintain 95% coding accuracy rate.
  • Any other task requested by management.

Qualifications

What you bring to the table:

• A minimum of 2 years' HCC coding.
• Extensive knowledge of ICD-10.
• Ability to be flexible in work environment.
• A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease processes.
• Ability to work in a fast-paced production environment while maintaining high quality.
• Must be able to follow instructions, meet deadlines and work independently.
• Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills.
• Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data.
• Must be able to commit to 40 hours weekly.
• Ability to be able work on multiple client projects.
• AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC). ** We are accepting CPC-As but you must have your CRC as well**

We are committed to building a diverse team of Datavanters who are smart, nice, and get things done, where every Datavanter is empowered to bring their authentic self to their work. 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 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. 

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