Opportunity at
DatavantClient Coding Project Manger (CCPM)
Datavant sells data collaboration tools to healthcare organizations such as providers, insurers, researchers and life sciences companies. This full-time Client Coding Project Manager role focuses on…
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About This Role
Datavant sells data collaboration tools to healthcare organizations such as providers, insurers, researchers and life sciences companies. This full-time Client Coding Project Manager role focuses on risk adjustment. The posting does not specify a work location. The manager audits risk adjustment coding, runs day-to-day auditing operations, and teaches internal teams and outside vendors about the improvement opportunities uncovered by audits. The manager monitors risk adjustment performance inside the company and…
Job Description
Datavant sells data collaboration tools to healthcare organizations such as providers, insurers, researchers and life sciences companies. This full-time Client Coding Project Manager role focuses on risk adjustment. The posting does not specify a work location. The manager audits risk adjustment coding, runs day-to-day auditing operations, and teaches internal teams and outside vendors about the improvement opportunities uncovered by audits.
The manager monitors risk adjustment performance inside the company and at coding vendors, and advises on compliance for current and new services under internal, federal, state and third-party standards. Other tasks include teaching QA specialists, vendor coders and staff through presentations, reports, memos and formal or informal sessions, reporting findings to leadership, documenting audit workflows and results, and helping design a training program on proper coding practice. The role trains new auditors, shares program updates with management at least monthly, and keeps the quality assurance program running. The manager also works with leadership to set benchmarks and acceptable thresholds.
The posting prefers a relevant bachelor's degree, or three to five years of related work experience, plus at least five years of risk adjustment coding experience covering both ACA and Medicare Advantage. Expert knowledge of risk adjustment and one or more years of project management experience are needed. Research, problem-solving and strong interpersonal skills matter, and proficiency with Microsoft and Google applications is required, with strong Excel skills a must. The estimated total cash compensation is $75,000 to $90,000 USD. Benefits include health, dental and vision coverage, PTO with holidays, a retirement savings plan, career development, wellness programs and location-based extras. The job is not eligible for sponsorship.
Responsibilities
- Audit risk adjustment coding and manage day-to-day auditing operations
- Monitor the performance of risk adjustment operations, both internal and at coding vendors
- Guide compliance for services already offered and those being launched
- Teach QA staff, vendor coders and colleagues via talks, reports and memos
- Report findings to leadership and make sure appropriate changes are carried out
- Document audit workflows and results
- Identify process improvements and help build a training program on correct coding practice
- Train new auditors and other staff as needed
- Share program and quality updates with management at least monthly
- Maintain the quality assurance program
Requirements
- Relevant bachelor's degree preferred, or 3 to 5 years of related work experience as a coder
- A minimum of five years of coding experience in risk adjustment, covering both ACA and Medicare Advantage
- Expert knowledge of risk adjustment
- At least one year of project management experience
- Research and problem-resolution skills
- Proficiency with Microsoft and Google applications, with Excel skills required
- Exceptional interpersonal skills and strong communication at every level of the organization
- Experience creating and monitoring policies, internal controls and operating standards
Qualifications
- Experience working in complex and ambiguous environments
- Experience building and delivering formal training programs
Core Skills
Benefits
- Full medical, dental and vision coverage
- Paid time off plan with holidays
- Retirement savings plan
- Room to advance professionally
- Employee wellness programs
- Extra perks that depend on location and role
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Where is this Client Coding Project Manager role located?
The posting does not specify a work location.
What is the estimated pay?
The posting gives an estimated total cash compensation range of $75,000 to $90,000 USD.
How much coding experience is required?
The posting asks for a minimum of five years of coding experience in risk adjustment, covering both ACA and Medicare Advantage, plus at least one year of project management experience.
Is visa sponsorship available?
No. The posting says sponsorship is unavailable for this position.
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