HCC Auditor at Datavant - Risk Adjustment Career Growth

Career Niche with Steady Demand: HCC Auditing sits at the intersection of clinical coding and healthcare compliance — a highly specialized niche within health information management. Professionals in this space are in consistent demand as risk adjustment and value-based care models expand under Medicare Advantage and ACA programs. Compensation vs. Market: The $29–$33/hr range ($60K–$69K annually) is on the lower end for experienced HCC Auditors. Industry benchmarks from AAPC and AHIMA surveys typically place certified HCC auditors with 2+ years of experience at $35–$50/hr, especially in leadership or senior roles. This rate may suit entry-to-mid career auditors but could be a step back for seasoned professionals. Skills You'll Develop: Deep expertise in ICD-10 risk adjustment coding and audit methodology Cross-client flexibility — adapting to multiple client guideline sets builds versatility Experience in a high-volume, production-oriented healthcare data environment Exposure to Datavant's healthcare data platform, a growing player in health data interoperability Green Flags: Fully remote position; mission-driven company in the AI/healthcare data space; structured quality metrics (95% accuracy standard) that create clear performance benchmarks. Red Flags: Below-market hourly rate for the experience required; no mention of PTO, benefits, or growth paths; task-oriented description suggests limited strategic involvement at this level. Best suited for those building a coding/auditing portfolio rather than those seeking senior advancement. 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. 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 strong time management skills Working knowledge of the business use of computer hardware and software to ensure effectiveness, quality of processing, and security of data Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour 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 . 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. 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. 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 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 . Requests for reasonable accommodations will be reviewed on a case-by-case basis. Is this HCC Auditor position fully remote? Yes, the role is described as remote and requires the ability to work in a remote environment. However, it is restricted to workers authorized to work in the United States and is not eligible for employment sponsorship. What certifications are required for this role? You must hold AHIMA credentials (RHIA, RHIT, or CCS) or AAPC credentials (CPC, CPC-H, COC, CIC, or CRC), along with at least 2 years each of HCC coding and HCC auditing experience. What is the pay for this HCC Auditor position? The estimated base pay range is $29–$33 per hour USD, which may vary based on location, skills, and experience. Are there vaccination requirements for this remote role? Many of Datavant's clients require post-offer health screenings and proof of vaccinations (e.g., flu, Tdap, COVID-19). Exemption requests are reviewed on a case-by-case basis by HR. What quality standards are expected in this role? Auditors are expected to maintain a 95% quality average at the diagnosis level while auditing coded charts assigned by a quality supervisor per client guidelines. Remote work & career advice that actually works. #J-18808-Ljbffr Datavant