Remote HCC Auditing Specialist

Overview

Who we are...

Ciox Health merged with Datavant in 2021, creating the nation's largest health data ecosystems, powering secure data connectivity on behalf of thousands of providers, payers, health data analytics companies, patient-facing applications, government agencies, research institutions and life science companies. The combined company is focused on improving patient outcomes and reducing costs by removing impediments to the secure exchange of health data. Ciox, a Datavant company will offer the ability to access, exchange, and connect data among the thousands of organizations in its ecosystem for use cases ranging from better clinical care and value-based payments to health analytics and medical research.

What we offer…

At Ciox Health we offer all employees a place to grow and expand their current skills so that they can not only help build Ciox Health into the greatest health technology company but create a career that you can be proud of. We offer you complete training and long-term career goals. Our environment is what most of our employees are the proudest of and our Architecture Group is comprised of some of the brightest and most talented individuals. Give us just a few moments to explain why we need you and hope you will help us change how the health Industry manages its’ medical records.

What we need…

Who we are...

Ciox merged with Datavant in 2021, creating nation's largest health data ecosystems, powering secure data connectivity on behalf of thousands of providers, payers, health data analytics companies, patient-facing applications, government agencies, research institutions and life science companies. The combined company is focused on improving patient outcomes and reducing costs by removing impediments to the secure exchange of health data. 

What We Need...

Auditor specialist will be responsible for performing QA on a specific project or for a particular client. QA will be performed randomly but with a certain percentage assigned to projects. QA projects may also be assigned to the QA Auditor as needed and random QA may be required.

Responsibilities

What You Will Do...

• Audit coded charts assigned by quality supervisor per the client guidelines
• Ability to move from different sets of client guidelines with minimal difficulty
• Maintain a 95% quality average at a diagnosis level
• Answer rebuttals entered on the auditor by coders and or auditors
• Participate in weekly coding project review meetings
• Any other tasks asked by quality supervisor

Qualifications

What You Need...

• High school diploma or GED equivalent required.
• AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)
• 2 years HCC Coding experience
• 2 years HCC Auditing experience
• Extensive knowledge of ICD -9/10
• Familiar with HCC coding
• 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
• Ability to be flexible in work environment
• 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 the following, PT a minimum of 20 hours, FT minimum of 40 hours weekly

Ability to be able work on multiple client projects

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc.  Any requests to be exempted from these requirements will be reviewed by Ciox Human Resources and determined on a case-by-case basis.  Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions.

Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

This job is not eligible for employment sponsorship.

Equal Pay Act Minimum Range