Auditing Manager jobs in Georgia

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. Datavant 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 Datavant we offer all employees a place to grow and expand their current skills so that they can not only help build Datavant 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...

The HCC Auditing Specialist plays a crucial role in ensuring the accuracy and compliance of charts coded by HCC Coders. In this role, you will review charts following client-specific guidance and ICD-10 guidelines to ensure precise coding and compliance.

Provide education through detailed feedback within audits.
• Provide coders' on-going education for any identified missed/incorrect ICD-9 and ICD-10 codes or incorrect/missing/inappropriate client-based notes.
• Maintain communication with both Coders as well as management on errors, trends, educational opportunities, etc.
• Report specific coding findings found on coder QA reviews into the organization's weekly coding round table discussions with the coders as well as the coding division's newsletter
• Complete other duties as assigned.

• What You Need...

  • 2 years of HCC coding experience
  • 1 year of HCC Auditing experience
  • High school diploma or GED equivalent
  • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC).
  • Proficient in ICD-10 coding.
  • Experienced in HCC coding across Medicare, commercial, and Medicaid sectors.
  • In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes.
  • Ability to excel in a fast-paced production environment while upholding high-quality standards.
  • Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills.
  • Working knowledge of the business computer hardware and software to enhance data processing effectiveness and security.

  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 Datavant 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. Pay range is between $29-33 an hour

  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.