ProFee Coding Lead

Title: ProFee Coding Lead

Location: Remote United States

Job Description:

Requisition ID 2024-37039

# of Openings 1

Category (Portal Searching) HIM / Coding

Position Type (Portal Searching) Employee Full-Time

Equal Pay Act Minimum Range $25.00 – $35.00 per hour

Overview

Datavant protects, connects, and delivers the world’s health data to power better decisions and advance human health. We are a data logistics 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 hire for three traits: we want people who are smart, nice, and get things done. 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.

Our coding team is growing and we’re in need of a Lead Coder with ProFee experience to join the team.The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace!

Responsibilities

What you will do:

• Review medical record documentation to identify pertinent diagnoses/procedures requiring code assignment for profee charts and accurately code the diagnoses and procedures for reimbursement, research, and compliance with federal regulations.
• Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
• Keep abreast of coding guidelines and reimbursement reporting guidelines, bringing identified concerns to the manager for resolution.
• Mentor and train newly hired coders and providers, providing ongoing training for coding staff.
• Assist the coding manager with special coding assignments or coding tasks to resolve unbilled issues.
• Serve as a resource for all coding-related questions, responding promptly to requests and questions from coding staff.
• Promote individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
• Monitor and report all required performance measures, including the development of department goals and assistance in assessing goal attainment.
• Conduct and recommend training to improve team performance.
• Ensure management is informed of any employee personnel issues.
• Function as a resource to employees for questions and additional training.
• Assist management in monitoring staff’s KPIs, timekeeping, and schedules.

Qualifications

What you will bring to the table:

• 3+ years of Profee coding experience
• Previous supervisory/team lead experience
• Coding Certification from the American Association of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) required
• High School Diploma or GED required
• Associates Degree in Health Information Management or any Healthcare Related Field preferred
• Proficient knowledge of ICD-10 and Profee coding guidelines
• Strong billing/denial experience
• Effective oral and written communication skills
• Strong analytical skills to interpret data
• In-depth knowledge of human anatomy, medical terminology, and surgical terminology
• Strong critical thinking skills and decision-making abilities
• Comprehensive understanding of coding compliance policies, coding guidelines for multiple specialties, and insurance payor policies

Perks:

• Full Benefits including a 401k Savings Plan
• Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development
• Compensation for AAPC/AHIMA dues
• Company-provided equipment including computer, monitor, mouse, etc
• Comprehensive training led by a credentialed professional coding manager
• Exceptional service-style management and mentorship (we’re in this together!)

We are committed to building a diverse team of Datavanters who are smart, nice, and get things done, where every Datavanter is empowered to bring their authentic self to their work. We 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 (competitive San Francisco rates for US-based roles) 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. This means we default to simple job titles (e.g., Software Engineer) rather than complex ones (e.g., Senior Software Engineer). 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 level, responsibilities, skills, and experience for a specific job. Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. Pay range is between $25-35 an hour.

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.

Equal Pay Act Minimum Range

$25.00 – $35.00 per hour