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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. Datavant ers bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
What We’re Looking For:
The Manager, Risk Adjustment Operations is responsible for the oversight and management of coding production, quality, and vendor management. This role is responsible for ensuring adherence to departmental goals, quality standards, metrics, policies, etc. They will provide leadership and guidance regarding activity, status, trends, coaching/feedback methods and coordination of additional resources to support coding production and quality.
What You Will Do:
Create and manage team’s daily, weekly and monthly production and quality goals to ensure that department objectives are met.
Cross functional collaboration to ensure that QA, trends and education is provided timely and accurately to team members.
Maintain internal coding policies and procedures to ensure compliance, coding consistency and up to date coding practices.
Oversee onboarding, staffing plans and staff performance to ensure optimal talent management and utilization.
Effective team management and utilization to achieve coding operational KPI’s.
Accountability and mentoring of supervisors and staff to business values and coding operations KPI’s
Reporting to coding leadership on business trends and project coding patterns as well as an obstacles to achieving KPI’s or deadline.
Collaboration with the Training/Education Department with a focus on content development/design, training coordination and facilitation
Manage all aspects of the Auditing and Quality Department for remote coding teams as well as field teams as necessary.
Monitor and report effectiveness of training programs from research, benchmark, propose training and development opportunities to drive continuous improvement.
Approve team member’s PTO and manage staff’s time out of office while continuing to meet department Auditing and Quality goals.
Knowledge and expertise in use of NLP and AI technology in coding business.
Collaboration with coding production to achieve 95% coding quality accuracy at project level.
Accountability and mentoring of quality and audit supervisors and audit staff to business values and coding operations KPI’s.
Vendor oversight – performing production and quality oversight for both onshore and offshore vendors.
Facilitate communication in regards to production and quality KPI metrics with vendors.
Monthly reconciliation of vendor performance metrics to assist with billing and SLA penalties if applicable.
Provide operational assistance to vendors regarding training, project assignment and system support.
Business related travel up to 20%.
What You Need to Succeed:
Bachelor’s Degree or a minimum of five years of equivalent experience in quality and/or coding management role(s) with increasing level of responsibility.
A minimum of 5 years of experience in risk adjustment coding and/or auditing experience.
3-5 years of people leadership experience
Experience with adult learning methodologies and distance learning preferred
Excellent written and oral communication skills.
Strong managerial, leadership, and interpersonal skills.
Outstanding organizational skills.
Ability to communicate effectively with all levels of the organization.
Ability to work effectively in a remote, team environment.
Flexibility in work schedule to meet departmental needs.
Strong analytical and problem-solving skills to grasp the key points from complicated details and provide direction/ coaching to members of the team.
A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes.
Ability to analyze data to determine the root cause of identified quality/production concerns.
Must be able to follow instructions, meet deadlines and work independently.
Intermediate Excel skills and the ability to use other Microsoft applications
Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data.
AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC)
What We Offer:
Comprehensive health, dental, and vision insurance
Retirement savings plan
Opportunities for career growth and development
Employee wellness programs
Additional benefits based on location and role
We are committed to building a diverse team of Datavant ers who are all responsible for stewarding a high-performance culture in which all Datavant ers 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.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
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 total cash compensation range for this role is:
$94,000$110,000 USD
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 here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, 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.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
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. Requests for reasonable accommodations will be reviewed on a case-by-case basis.
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