Risk Adjustment Coding PM at Datavant | $75K–$90K in Columbus

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:

The Client Coding Project Manager will provide superior quality by performing audits pertaining to risk adjustment coding efforts. They will be responsible for daily operations pertaining to auditing functions as assigned. The CCPM will provide superior customer experience by educating internally and externally on opportunities for improvement discovered during auditing. This individual will work closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs.

What You Will Do:

• Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors.
• Provide expertise as it relates to coding compliance for new and existing services, while ensuring compliance with organizational, federal, state, and third-party requirements.
• Assist in the methods to effectively communicate information through presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff.
• Report findings to Leadership in a timely, consistent and effective manner ensuring that appropriate changes are implemented.
• Support audit processes ensuring work flows and results are properly documented and maintained. Identify process improvements as needed.
• Assist in the development of an effective training program regarding correct coding techniques/practices.
• Assist with training new auditors and training of other staff as needed.
• Create methods to share information on the program, quality, and initiatives with Management on a monthly cadence at minimum.
• Maintain a quality assurance program.
• Play a key role in ensuring coding compliance and accuracy.
• Perform other duties as assigned.

What You Need to Succeed:

• Bachelor's degree in relevant field of study preferred, or 3–5 years related work experience as a coder with a minimum of 5 years' coding experience in risk adjustment (both ACA and MA).
• Expert knowledge of Risk Adjustment.
• 1+ years experience in project management.
• Research and problem resolution skills.
• Proficient in Microsoft and G-Suite applications; Excel skills are a must.
• Exceptional interpersonal relationship skills.
• Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement.
• Strong communication skills to effectively interact with all levels of the organization, business unit leaders, and staff in a tactful and positive manner.
• Proven success in complex and ambiguous environments.
• Ability to work independently, with high productivity, and regularly meet deadlines.
• Excellent written and verbal communication skills conforming to all rules of punctuation, grammar, diction, and professional style.
• Experience in initiating, developing, and monitoring policies, internal control procedures, and operating standards.

What We Offer:

• Comprehensive health, dental, and vision insurance
• Paid time off (PTO) plan, plus holidays
• Retirement savings plan
• Opportunities for career growth and development
• Employee wellness programs
• Additional benefits based on location and role

Physical Requirements:

• Sitting or standing for duration of work shift (or alternating between the two)

Compensation:

The estimated total cash compensation range for this role is: $75,000–$90,000 USD. Individual rates may differ based on level, responsibilities, skills, and experience.

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. Know Your Rights — explore the resources available through the EEOC for more information regarding your legal rights and protections.

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.

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.

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