Quality Assurance Auditor - Risk Adjustment - Remote

Overview

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.

Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care.

By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.

In Short

• Maintain a quality assurance program.
• Ensure coding compliance and accuracy.
• Monitor Risk Adjustment Operations performance.
• Provide expertise on coding compliance.
• Educate QA specialists and coding vendors.
• Report findings to Leadership.
• Support audit processes and documentation.
• Assist in training programs for coding practices.
• Train new auditors and staff.
• Share information on quality initiatives with Management.

Requirements

• Bachelor’s degree in relevant field or 3-5 years related experience.
• Expert knowledge of Risk Adjustment.
• Research and problem resolution skills.
• Exceptional interpersonal relationship skills.
• Strong managerial, financial, and analytical skills.
• Commitment to quality, customer focus, and process improvement.
• Strong communication skills across all organizational levels.
• Experience overseeing remote operations.
• Ability to work independently and meet deadlines.
• Excellent written and verbal communication skills.

Benefits

• Diverse team and high-performance culture.
• Equal Employment Opportunity employer.
• Competitive compensation package.
• Opportunities for professional growth.
• Commitment to a work environment free from discrimination.