Client Coding Project Manager

About the role

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 and will educate internal and external stakeholders on opportunities for improvement discovered during auditing. This individual will work closely with management to implement benchmarks, establish acceptable thresholds, and maintain effective quality assurance programs.

Responsibilities

• Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors.
• Provide expertise regarding coding compliance for new and existing services while ensuring compliance with organizational, federal, state, and third-party requirements.
• Communicate information through presentations, reports, educational programs, and memoranda to QA specialists, coding vendors, and staff.
• Report findings to leadership in a timely, consistent, and effective manner.
• Support audit processes ensuring workflows and results are properly documented and maintained.
• Identify process improvements and assist in the development of effective training programs regarding correct coding techniques.
• Maintain a quality assurance program and ensure coding compliance and accuracy.

Required skills

• Risk Adjustment
• Project management
• Microsoft Office
• G-Suite
• Excel
• Auditing

Qualifications

• Bachelor’s degree in relevant field of study
• 5 years of coding experience in risk adjustment (ACA and MA)

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Paid time off
• Retirement savings plan
• Employee wellness programs

About the Company

Datavant is the data collaboration platform trusted for healthcare. They provide critical data solutions for organizations across the healthcare ecosystem, including providers, health plans, researchers, and life sciences companies.