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1,145

Jobs in New York, United States

HCC Risk Adjustment Auditor - Full Time - Remote

Datavant

Salem (OR)
Remote
USD 60,000 - 80,000
30+ days ago
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Lead Varicent ICM Developer

Eliassen Group

Salem (OR)
Remote
USD 80,000 - 100,000
30+ days ago

Medical Director - Mid West Region

Humana

Garden City (ID)
Remote
USD 223,000 - 314,000
30+ days ago

Examiner, Claims (Remote, Must Reside in Florida)

Molina Healthcare

Tampa (FL)
Remote
USD 60,000 - 80,000
30+ days ago

Indirect Property Tax Manager

Ernst & Young Oman

Miami (FL)
Remote
USD 80,000 - 120,000
30+ days ago
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Senior Computer User Support Specialist

GovCIO

Salem (OR)
Remote
USD 75,000 - 87,000
30+ days ago

Customer Engineer- M365 Engineer

Concentrix

Garden City (ID)
Remote
USD 92,000 - 120,000
30+ days ago

Financial Project Manager - Remote, US

Bowman

Garden City (ID)
Remote
USD 75,000 - 81,000
30+ days ago
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Senior Account & Relationship Executive

Wolters Kluwer

Salem (OR)
Remote
USD 121,000 - 171,000
30+ days ago

Senior Sales Director

GE Aerospace

Tampa (FL)
Remote
USD 125,000 - 150,000
30+ days ago

ATO Sourcing Strategy Leader

GE Aerospace

Tampa (FL)
Remote
USD 108,000 - 145,000
30+ days ago

Medicaid Quality Testing Engineer

Humana

Garden City (ID)
Remote
USD 89,000 - 122,000
30+ days ago

Sr. Mainframe Automation Systems Programmer

Ensono

Miami (FL)
Remote
USD 85,000 - 148,000
30+ days ago

Underwriter - REMOTE

Prime Therapeutics

Salem (OR)
Remote
USD 59,000 - 94,000
30+ days ago

Director of Admissions

Monte Nido

Miami (FL)
Remote
USD 150,000 - 200,000
30+ days ago

National Account Executive

Keurig Dr Pepper

Dallas (TX)
Remote
USD 90,000 - 120,000
30+ days ago

Business Development Representative

ISC2

Garden City (ID)
Remote
USD 45,000 - 55,000
30+ days ago

Stars Operations Strategy Lead

Humana

Helena (MT)
Remote
USD 115,000 - 159,000
30+ days ago

Cloud OS Engineer Lead

NTT DATA North America

Plano (TX)
Remote
USD 100,000 - 125,000
30+ days ago

Enterprise Architect (Remote)

GovCIO

Garden City (ID)
Remote
USD 165,000 - 185,000
30+ days ago

Principal Sales Engineer

EDB

Garden City (ID)
Remote
USD 192,000
30+ days ago

Bilingual Transaction Analyst

CBRE

Salem (OR)
Remote
USD 65,000 - 70,000
30+ days ago

Clinical Account Executive Supporting Florida Client - Remote

Prime Therapeutics

Salem (OR)
Remote
USD 124,000 - 211,000
30+ days ago

Sr. Compensation Analyst | Remote, USA

Optiv

Tampa (FL)
Remote
USD 80,000 - 100,000
30+ days ago

Junior Computer Systems Engineer/Architect

GovCIO

Pierre (SD)
Remote
USD 90,000 - 102,000
30+ days ago

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HCC Risk Adjustment Auditor - Full Time - Remote
Datavant
Remote
USD 60,000 - 80,000
Full time
30+ days ago

Job summary

A leading data platform company is seeking an HCC Auditor to ensure precise coding of medical records for risk adjustment. Candidates must have 2 years of HCC Coding and Auditing experience, along with AHIMA or AAPC certification. The ideal applicant will thrive in a fast-paced office and maintain high quality standards. This role offers comprehensive benefits and opportunities for growth.

Benefits

Comprehensive health, dental, and vision insurance
Paid time off (PTO) plan
Retirement savings plan
Flexible work arrangements
Opportunities for career growth and development
Employee wellness programs

Qualifications

  • 2 years' HCC Coding experience required.
  • 2 years' HCC Auditing experience required.
  • High school diploma or GED equivalent required.
  • AHIMA or AAPC certified credentials are a must.

Responsibilities

  • Audit coded charts as per client guidelines.
  • Maintain a 95% quality average at a diagnosis level.
  • Participate in weekly coding project review meetings.

Skills

HCC Coding experience
HCC Auditing experience
Knowledge of ICD-10
Excellent written and verbal communication skills
Time management skills

Education

High school diploma or GED equivalent
AHIMA (RHIA, RHIT, CCS) or AAPC (CPC, CPC-H, COC, CIC, CRC) certification

Tools

Computer hardware and software knowledge
Job description
Overview

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.

Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care.

By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.

What We’re Looking For

As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in 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 and confirming the accuracy of said work.

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

What You Need to Succeed
  • 2 years\' HCC Coding experience

  • 2 years\' HCC Auditing experience

  • Extensive knowledge of ICD -10

  • High school diploma or GED equivalent required

  • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)

  • 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

What We Offer
  • Comprehensive health, dental, and vision insurance

  • Paid time off (PTO) plan

  • Retirement savings plan

  • Flexible work arrangements

  • Opportunities for career growth and development

  • Employee wellness programs

We are committed to building a diverse team of Datavanters who 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.

At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.

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 their level, responsibilities, skills, and experience for a specific job.

The estimated total cash compensation range for this role is:

$29—$33 USD

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.

This job is not eligible for employment sponsorship.

Datavant is committed to a work environment free from job discrimination. 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. To learn more about our commitment, please review our EEO Commitment Statement here (https://www.datavant.com/eeo-commitment-statement) . Know Your Rights (https://www.eeoc.gov/know-your-rights-workplace-discrimination-illegal) , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.

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

Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (https://peopleteam.datavant.com/portal/en/newticket?departmentId=248697000248790029&layoutId=248697000248795462) by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (https://app.tango.us/app/workflow/Greenhouse--Locating-Requisition-ID-2c7d618c8a8a423da4330ff12330695e) . Requests for reasonable accommodations will be reviewed on a case-by-case basis.

For more information about how we collect and use your data, please review our Privacy Policy (https://www.datavant.com/privacy-policy) .

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* The salary benchmark is based on the target salaries of market leaders in their relevant sectors. It is intended to serve as a guide to help Premium Members assess open positions and to help in salary negotiations. The salary benchmark is not provided directly by the company, which could be significantly higher or lower.

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