HCC Risk Adjustment Coder
$25 - $26.7 per hourDatavant
Datavant and Savant Bio Partner to Deliver End-to-End Clinical Record Retrieval and Abstraction for High-Fidelity Real-World Data. Read more Need help with record requests? Datavant Connect Login Back to Jobs HCC Risk Adjustment Coder 8250 Remote - United States Full-time regular Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. 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. 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 a 95% coding accuracy rate. Any other task requested by management. What you will bring to the table: A minimum of 2 years' HCC coding. Extensive knowledge of ICD-10. Ability to be flexible in the 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 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: $25 — $26.70 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 . Know Your Rights , 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. Voluntary Self-Identification For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file. As set forth in Datavant’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law. Race* Gender* A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability. A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service. An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense. An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985. Veteran Status* Datavant recognizes the importance of information security and data privacy, including in its hiring processes and recruitment. Datavant encourages all potential job applicants to take precautions against potential phishing schemes or other scams that improperly purport to be from Datavant or from Datavant representatives. Datavant seeks information from job applicants and accepts job applications for candidates in the U.S. through only the following official channels: Datavant’s official career portal ( ) Datavant’s official LinkedIn page ( ) Datavant’s official Indeed page ( ) Any phishing or scams in which individuals purport to represent Datavant are without the permission of Datavant and are not conducted by, related to, or endorsed by Datavant. Phishing occurs when unauthorized bad actors represent themselves as reputable individuals or companies in an effort to acquire sensitive personal information from others, such as social security numbers, financial account information, or home addresses. These actors may gain unauthorized access to accounts, online profiles, and/or e-mails addresses of real people who appear trustworthy in order to conduct these scams. In an effort to protect personal information during the application process, applicants should not respond to career inquiries via e‑mail, messaging applications, or any social media accounts or profiles that are not from an official Datavant e‑mail address, or Datavant‑owned page or profile. Datavant will never use messaging applications, such as WhatsApp, or similar texting platforms to collect personal information from applicants, conduct interviews, or for any recruitment‑related activities. Datavant also will not conduct recruitment‑related activities via social media beyond Datavant’s official LinkedIn page ( ). For more information on how to protect against and recognize phishing scams in hiring processes generally, please visit . If you believe you have been the victim of identity theft or fraud, please direct that matter to local law enforcement, the state Attorney General, the Federal Bureau of Investigations (FBI), or the Federal Trade Commission (FTC). You can contact the FTC to learn more about how to protect yourself from becoming a victim of identity theft at 1-877-IDTHEFT (438-4338) / . Datavant is the data collaboration platform trusted for healthcare. With a mission to make the world’s health data secure, accessible, and actionable, Datavant works with payers, providers, life sciences, legal and insurance clients globally to accelerate insights. Datavant enables more than 60 million healthcare records to move between thousands of organizations across the healthcare ecosystem, more than 80,000 hospitals and clinics, 75% of the 100 largest health systems, and 350+ real‑world data partners. Datavant has office locations in Boston, New York and San Diego, with international offices in Barcelona and Galway. 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$30 - $35 per hour
We are looking for US-based experienced, certified HCC risk adjustment coders to join our contractor network. You will review medical records, validate AI-suggested diagnoses, assign ICD-10-CM codes, and document MEAT evidence per CMS V28 model standards — all within our...RiskRemote jobHourly payContract workFor contractorsFlexible hours$70k - $85k
Risk Adjustment Coding Specialist II - Los Angeles Department: Strategy and Operations Employment... ...on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs, helping... ...and overread assignments. Supports coder training and orientation as requested by...RiskFull timeWork at office- ...of Burden of Illness (BOI) to oversee daily BOI operations and risk adjustment initiatives. You will lead a team, monitor RAF accuracy and... ...regulatory adherence. The role requires strong leadership, CMS/HCC knowledge, and a track record in operational improvement within...Risk
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...certifications from AAPC or AHIMA will be considered. CPC (Certified Professional Coder) COC (Certified Outpatient Coding) CPC-P (Certified Professional Coder-Payer) CRC (Certified Risk Adjustment Coder) CIC (Certified Inpatient Coder) CCS (Certified Coding Specialist) RHIT...RiskFull timeRemote workShift work- ...As a leading provider of crop insurance and other agricultural risk management tools, we recognize that our success is derived directly... ...? AgriSompo has a unique opportunity for a Crop Insurance Adjuster to join our Southeast team, supporting our Multi-Peril Crop Insurance...RiskFull timeWork at officeRemote workWorldwideHome officeFlexible hoursWeekend work
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$26 - $28 per hour
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$86k - $106k
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$150k - $200k
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$2,500 per month
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...PricingAt AIG, we are reimagining the way we help customers to manage risk. Join us as a AssociateActuary - North America Property Pricing... ...efforts with cat modeling team to ensure adequate risk-adjusted returns contemplating expected loss, reinsurance costs, and increased...RiskFull timeWork at office
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