Director, Coding Operations Support

Datavant is a data platform company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners.

By joining Datavant today, you’re stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare. We invest in our people and believe in hiring for high-potential and humble individuals who can rapidly grow their responsibilities as the company scales. Datavant is a distributed, remote-first team, and we empower Datavanters to shape their working environment in a way that suits their needs.

Datavant is currently at an exciting inflection point as a company. We are approximately two years post our merger, and we are gaining meaningful traction in converting our network to digital retrieval methods. Additionally, New Mountain Capital and a number of other investors have provided Datavant with an additional investment to fuel our future growth.

The Director of HCC Coding Operations Support is an exciting opportunity for a motivated, analytical certified coder to plan, forecast, and manage client-facing coding projects, and support day-to-day operations for our remote coding team, onshore and offshore.

As a Coding Operations Leader, you will:

• Partner with Production and Quality operations on continuous improvement projects to ultimately improve our customer satisfaction
• Respond to client needs and ensure customer satisfaction
• Monitor coding projects to ensure that coders are making appropriate decisions and identify common themes in coding quality and accuracy
• Troubleshoot and provide feedback on coding trends and process issues
• Define productivity and accuracy benchmarks, and ensure coding and auditing teams meet the expectations
• Drive quality assurance and performance improvement activities including review of coder decisions and continuing coder education
• Partner with peers in other departments to achieve company goals, develop a mutual understanding of roles, and foster a positive work environment
• Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA) and other markets
• Partner with the client to ensure understanding of coding guidelines as well as provide feedback on guidelines and opportunities for coder improvement.
• Prepare and deliver timely project performance reports to HCC Coding leadership
• Act as a subject matter expert in coding working with product & engineering to develop best in class coding technology and coding Apps
• Engage with National Health Plan leaders to strategize on Risk Adjustment program improvement
• Oversee metrics for large projects embracing a data driven culture for success

What you bring to the table:

• Minimum Associates degree, preferably in a healthcare related field
• Bachelor's degree preferred, preferably in a healthcare related field
• Minimum 8 years of Risk Adjustment coding experience
• Minimum 5 years managing coders or auditors
• Current CCS, CRC or CPC accreditation minimum required
• Minimum of 5 years experience in Medicare Advantage Risk Adjustment, CDI, Medicaid, and Commercial Risk Adjustment
• Familiarity with HIPAA patient privacy requirements
• Experience in product development, risk adjustment coding Apps and technology
• RADV audit experience leading HHS IVA and/or CMS RADV audit teams
• Excellent communication and organizational skills
• Keen attention to detail and expertise with Risk Adjustment coding data and results

We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. 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.

Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices.

We’re building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated salary range for this role is $145,000 - $185,000.

At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your responses will be anonymous and used to help us identify areas of improvement in our recruitment process. (We can only see aggregate responses, not individual responses. In fact, we aren’t even able to see if you’ve responded or not.) Responding is your choice and it will not be used in any way in our hiring process.

This job is not eligible for employment sponsorship.