Datavant is a rapidly growing health information technology company with a mission to connect the world’s health data to improve patient outcomes. Datavant works to reduce the friction of data sharing across the healthcare industry by building technology that protects the privacy of patients while supporting the linkage of patient health records across datasets.

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

You will:

• Conduct clinical reviews on selected service line operating centers and discharges in accordance with the client hospital’s objectives for assuring quality patient care and effective and efficient utilization of health care services 
• Interact with medical staff members and medical directors and senior hospital leadership staff 
• Ensure program compliance by following AHA guidelines and coding clinics for coding and required documentation. 
• Send complaint queries as endorsed by AHIMA and ACDIS. 
• Perform medical record reviews for completeness and accuracy in capturing severity of illness and risk of mortality and queries. 
• Determine if professionally recognized standards of quality care are met. 
• Provide feedback to attending and consulting physicians regarding level of care, length of stay, and quality issues. Seeks additional clinical information from the attending and consulting physicians. 
• Recommend and request additional, more complete, medical record documentation if required. 
• Educate specific medical staff departments (e.g., Internal Medicine, Surgery, Family Practice, etc.) at departmental meetings regarding reasons why individual physicians should be concerned about correct disease reporting and the subsequent ICD code capture of severity, acuity, risk of mortality, and DRG assignment, such as: Physician performance profiling, Physician E&M payment and pay for performance. 
• Appropriate hospital reimbursement and profiling for patient care. 
• Analyze project findings and identify potential root causes of produced errors and prepare education and reference summary reports for clients. 
• Oversee and establish relationships as necessary to promote and support interdepartmental workflow. 
• Review Medicare and Commercial payer publications frequently and develop coding education proactively to add value to the overall quality of clinical documentation. 
• Lead and develop the training and education to hospital CDI staff and physician providers. 
• Work directly with the provider(s) as needed to facilitate timely documentation practices and resolution of queries. 
• May prepare, document, and conduct all CDQI pre-bill staff performance evaluations including coaching sessions or corrective action plans, as necessary. 
• Provide on-going mentorship if needed. 
• Assist with special projects as needed and perform related duties as assigned or delegated by management. 
• Remain current with coding information to ensure accuracy of codes assigned based on documentation.  
• Travel up to 30% 

What you will bring to the table: 

• 3+ years of relevant experience
• Experience in CDI programs in regional health systems and large academic teaching centers
• Experience translating broad strategies into specific objectives and initiatives
• Experience analyzing complex systems and processes, synthesizing relevant theories, principles and evidence and determining solutions challenging problems
• Experience communicating effectively through various medium and diverse audiences
• Knowledge of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and the impact of procedures on the final Diagnosis Related Group (DRG)
• Knowledge of DRG payer issues, documentation opportunities, clinical documentation requirements, and referral policies and procedures. 
• Ability to multi-task
• Experienced computer skills in Microsoft Word, Excel, Office, Outlook, and PowerPoint

Bonus points if:

• You have prior Physician Advisor experience
• You have acute care experience
• You have ICD 10 and CPT coding qualifications

We are committed to building a diverse team of Datavanters 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 and internally fair. Salary ranges for this function are developed with the support of benchmarks and industry best practices. Datavanters are engaged in environments that will challenge them and are recognized for impact. You will be provided clear direction on what it takes to succeed in your role, and growth opportunities are available for other roles you may be interested in.

The estimated salary range for this role is  $87,000 - $104,000.

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.

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