Client Coding Project Manger; CCPM

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem—including providers, health plans, researchers, and life‑sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.

By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.

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 as assigned. The CCPM will provide superior customer experience by educating internally and externally on opportunities for improvement discovered during auditing. This individual will work closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs.

• Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors.
• Provides expertise as it relates to coding compliance for new and existing services, while ensuring compliance with organizational, federal, state, and third‑party requirements.
• Assist in the methods to effectively communicate information through presentations, reports, educational programs, memoranda, etc. by providing formal and informal education to QA specialists, coding vendors and staff.
• Report findings to Leadership in a timely, consistent and effective manner ensuring that appropriate changes are implemented.
• Support audit processes ensuring work flows and results are properly documented and maintained. Identify process improvements as needed.
• Assist in the development of an effective training program regarding correct coding techniques/practices.
• Assist with training new auditors and training of other staff as needed.
• Create methods to share information on the program, quality, and initiatives with Management on a monthly cadence at minimum.
• Maintain a quality assurance program.
• Play a key role in ensuring coding compliance and accuracy.
• Perform other duties as assigned.

• Bachelor’s degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA and MA.
• Expert knowledge of Risk Adjustment.
• 1+ years experience in project management.
• Research and problem resolution skills.
• Proficient in Microsoft and G‑Suite applications. Excel skills are a must.
• Exceptional interpersonal relationship skills.
• Consistent demonstration of commitment to quality, customer focus, productivity, and process improvement.
• Strong communication skills to effectively interact all levels of the organization, business unit leaders, and staff in a tactful and positive manner.
• Exceptional interpersonal skills, proven success in complex and ambiguous environments.
• Ability to work independently, with high productivity, and regularly meet deadlines.
• Demonstrates excellent written and verbal communication skills conforming to all rules of punctuation, grammar, diction and professional style.
• Experience in initiating, developing and monitoring policies, internal control procedures and operating standards.

• Comprehensive health, dental, and vision insurance
• Paid time off (PTO) plan, offering X days per year, plus holidays
• Retirement savings plan
• Opportunities for career growth and development
• Employee wellness programs
• Additional benefits based on location and role

• Sitting or standing for duration of work shift (or alternating between the two)

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…