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Job Description 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. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our 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! What You Will Do: • Assign diagnostic and procedural codes using ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes, • Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation, • Oversee and audit the work of Level 1 & 2 Coders, where applicable, • Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders, • Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments, • Maintain a minimum production of 1 chart per hour or site-specific productivity benchmarks, • Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues, • Occasionally travel for professional development or meetings, if required What You Need to Succeed: • A minimum of 3 years of inpatient coding facility experience, • CCS, RHIT, or RHIA preferred, • Strong verbal and written communication skills What Helps You Stand Out: • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Level 1 trauma facility experience, • Experience in computerized encoding and abstracting software What We Offer: • Benefits for PRN employees: 401k savings plan w/match, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager 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. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description 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. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For: As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! ** What You Will Do: • Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elements using MS DRG or APR DRGs., • Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc., • Keeps abreast of regulatory changes., • Organizes and prioritizes multiple cases concurrently to ensure optimal workflow and turnaround time, • Provides coder education via the auditing process, • Function in a professional, efficient, and positive manner, • Adhere to the American Health Information Management Association's code of ethics., • Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession., • High complexity of work function and decision making What You Need to Succeed: • 5+ years of facility inpatient coding experience and/or auditing., • CCS (required), RHIA or RHIT preferred, • Maintain 95% DRG accuracy rate, • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable, • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager 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. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description 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. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For: As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status and confirming the accuracy of said work. What You Will Do: • Audit coded charts assigned by quality supervisor per the client guidelines, • Ability to move from different sets of client guidelines with minimal difficulty, • Maintain a 95% quality average at a diagnosis level, • Answer rebuttals entered on the auditor by coders and or auditors, • Participate in weekly coding project review meetings, • 2 years' HCC Coding experience, • 2 years' HCC Auditing experience, • Extensive knowledge of ICD -10, • High school diploma or GED equivalent required, • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC), • A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease processes, • Ability to work in a fast-paced production environment while maintaining high quality, • Must be able to follow instructions, meet deadlines and work independently, • Ability to be flexible in work environment, • Excellent written and verbal communication skills, ability to work in a remote environment and time management skills, • Comprehensive health, dental, and vision insurance, • Paid time off (PTO) plan, • Retirement savings plan, • Flexible work arrangements, • Opportunities for career growth and development 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:$29—$33 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. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description Hi, we're Oscar. We're hiring a Senior Analyst to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Senior Analyst, Payment Integrity role organizes, scopes, prepares, investigates and/or executes on solutions and process improvements within edits and ideation. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement. You will report to the Senior Manager, Payment Integrity. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid Pay Transparency: The base pay for this role is: $69,600 - $91,350 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities • Contribute as a subject matter expert for Oscar reimbursement policies, payment integrity internal claims processing edits and external vendor edits., • Respond to internal and external inquiries and disputes regarding policies and edits., • Research industry standard coding rules, summarize and provide input into reimbursement policy language and scope., • Use knowledge gained through research and claims review to ideate payment integrity opportunities. Translate into business requirements; submit to and collaborate with internal partners to effectuate change., • Ingest information from internal and external partners regarding adverse claim outcomes; collaborate with partners to scope, size, prioritize items and deliver solutions., • Use insights from partner submissions, data mining, process monitoring, etc., work with the team to proactively identify thematic areas of opportunity to solve problems., • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate., • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • A bachelor's degree or 4+ years of commensurate experience, • 3+ years of experience in claims processing, coding, auditing or health care claims operations, • 3+ years experience in medical coding within payment integrity, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices., • 2+ years experience deriving business insights from datasets and solving problems, • 1+ years experience improving business workflows and processes, • 1+ years experience collaborating with internal and/or external stakeholdersBonus points, • 2+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar), • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job Description 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. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our 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! What You Will Do: • Assign diagnostic and procedural codes using ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes, • Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation, • Oversee and audit the work of Level 1 & 2 Coders, where applicable, • Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders, • Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments, • Maintain a minimum production of 1 chart per hour or site-specific productivity benchmarks, • Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues, • Occasionally travel for professional development or meetings, if required What You Need to Succeed: • A minimum of 3 years of inpatient coding facility experience, • CCS, RHIT, or RHIA preferred, • Strong verbal and written communication skills What Helps You Stand Out: • Associate or Bachelor's degree from an AHIMA-certified HIM or Nursing Program, or completion of a certificate program from AAPC with a preference for CCS, • Level 1 trauma facility experience, • Experience in computerized encoding and abstracting software What We Offer: • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays, • Benefits for PRN employees: 401k savings plan w/match, • Free CEUs every year, • Stipend provided to assist with education and professional dues (AHIMA/AAPC), • Equipment: monitor, laptop, mouse, headset, and keyboard, • Comprehensive training led by a credentialed professional coding manager 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. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description 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. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health stats, You will: • Provide education through detailed feedback within audits., • Provide coders' on-going education for any identified missed/incorrect ICD-10 codes or incorrect/missing/inappropriate client-based notes., • Maintain communication with both Coders as well as management on errors, trends, educational opportunities, etc., • Minimum 3 years of HCC coding experience, • Minimum 2 years of HCC Auditing experience, • High school diploma or GED equivalent, • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)., • Proficient in ICD-10 coding., • Experienced in HCC coding across Medicare, commercial, and Medicaid sectors., • In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes., • Ability to excel in a fast-paced production environment while upholding high-quality standards., • Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills., • Comprehensive health, dental, and vision insurance, • Paid time off (PTO) plan, • Retirement savings plan, • Flexible work arrangements, • Opportunities for career growth and development 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 contact us at . We will review your request for reasonable accommodation on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description 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. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For A Coding Supervisor capable of overseeing the daily operations of the inpatient and outpatient coding team to ensure timely, accurate, and compliant coding of hospital inpatient encounters. This role includes staff supervision, quality assurance, workflow management, training, and collaboration with other departments to optimize coding performance and support revenue cycle integrity. What You Will Do Team Leadership & Management • Supervise, mentor, and evaluate inpatient and outpatient coding staff, including remote employees., • Coordinate work assignments and schedules to ensure productivity and turnaround time goals are met., • Provide regular performance feedback and conduct annual evaluations., • Track and report on coding productivity and quality metrics for leadership review., • Maintain coding policies, procedures, and workflow documentation., • Implement process improvements to enhance accuracy, efficiency, and regulatory compliance., • 2+ years of supervisory experience; 3+ years of inpatient coding experience with ICD-10-CM/PCS and MS-DRGs., • Minimum 1–2 years in a coding lead, auditor, or supervisory role., • Associate's degree in Health Information Management, or related field preferred., • Bachelor's degree in Health Information Management or Healthcare Administration preferred., • Required: CCS, RHIA, or RHIT (AHIMA) CDIP, CHC, or other advanced coding/audit certifications, • Self-starter with the ability to hit the ground running., • Detail-oriented and committed to accuracy., • Adaptable and resourceful in managing competing priorities., • Team-oriented with strong problem-solving skills., • Expert knowledge of coding guidelines, DRG assignment, and reimbursement methodology., • Strong analytical and problem-solving abilities., • Effective communication and leadership skills., • Proficiency in productivity and audit tracking tools., • Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, Unlimited paid time off, and Paid Holidays, Floating Holidays., • Equipment: monitor, laptop, mouse, headset, and keyboard., • Comprehensive training led by a credentialed professional coding manager. 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:$65,000—$84,000 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. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description Hi, we're Oscar. We're hiring an Associate to join our Payment Integrity team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role This role is responsible for supporting process improvement and issue resolution in the Oscar claim environment for both the Oscar Insurance business and +Oscar clients. The Associate, Payment Integrity is responsible for ensuring claims are paid accurately and timely with the highest quality. This is accomplished by leveraging a deep understanding of Oscar's claim infrastructure, workflows, workflow tooling, platform logic, data models, etc., to work cross-functionally to understand and translate friction from stakeholders into actionable opportunities for improvement within edits and ideation. The Associate provides thought leadership for Payment Integrity process and workflows that impact claims payments and works closely with cross functional partners on execution of changes. You will report to the Senior Manager, Payment Integrity. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our mission. This is a hybrid role in our New York City office. You will work part of the time in the office and part of the time remote / work-from-home. #LI-Hybrid Pay Transparency: The base pay for this role is: $88,800 - $116,550 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses. Responsibilities • Provide subject matter expertise and in-depth understanding of Payment Integrity internal claims processing edits, external vendor edits and Oscar reimbursement policies., • Identify claims payment issues from data mining, process monitoring, etc., provide scoping and action steps needed to remediate the issue., • Respond to internal and external inquiries and disputes regarding policies and edits., • Document industry standard coding rules and provide recommendations on reimbursement policy language and scope., • Ideate payment integrity opportunities based on a deep knowledge of industry standard coding rules. Translate into business requirements; submit to and collaborate with internal partners to effectuate change., • Provide training and education to team members when necessary., • Perpetuate a culture of transparency and collaboration by keeping stakeholders well informed of progress, status changes, blockers, completion, etc.; field questions as appropriate., • Support Oscar run state objectives by providing speedy research, root cause analysis, training, etc. whenever issues are escalated and assigned by leadership., • Compliance with all applicable laws and regulations, • Other duties as assignedQualifications, • A bachelor's degree or 4+ years of commensurate experience, • 4+ years of experience in claims processing, coding, auditing or health care claims operations, • 4+ years experience in medical coding, • 3+ years of experience working with large data sets using excel or a database language, • Medical coding certification through AAPC (CPC, COC) or AHIMA (CCS, RHIT, RHIA), • Experience with reimbursement methodologies, provider contract concepts and common claims processing/resolution practices.Bonus points, • 3+ years experience in a technical role (QA analyst, PM, operations analyst, finance, consulting, industrial engineering) or a process improvement role (Six Sigma or similar), • Process Improvement or Lean Six Sigma training At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. Artificial Intelligence (AI) Guidelines: Please see our AI Guidelines for the acceptable use of artificial intelligence during the interview process at Oscar. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Notice to Job Applicants.

Job Description 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. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Coding Supervisor serves as a working supervisor with oversight and management of Risk Adjustment team members. This includes monitoring production and quality of employees' work, process improvements and clear communication of expectations. This position supports and coaches front line talent to ensure the highest level of service to clients and ultimately the patient lives we impact. You will: • Supervise day-to-day team performance, conduct 1:1's and performance assessments., • Responsible for reviewing and approving time sheets and time off requests., • Receive, merge and track quality, productivity, and feedback for all team members., • Provide a summary of productivity findings on a daily basis, including education on time management and best coding practices., • Provide coaching and feedback on achieving production and quality standards of the role., • Report trends for education opportunities to management for review and/or action., • Motivate team members through effective training, supplemental materials and coaching to improve quality and production., • Apply guidelines and concepts as indicated., • Serve as resource and subject matter expert to staff., • Ensure compliance with HIPAA regulations and requirements., • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, CRC), • Extensive knowledge of ICD -9/10, • 2 years coding experience, required., • People Leader experience managing a team of employees., • Familiarity with HCC coding., • A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes., • Ability to work in a fast-paced production environment while maintaining adherence to high quality standards., • Must be able to follow instructions, meet deadlines and work independently., • Ability to be flexible in work environment., • Excellent written and verbal communication skills, ability to work in a remote environment and time management skills. 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:$65,000—$84,000 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. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description:\n\nOnline Academic Coach (HigherEd, Remote, Part-Time) Instructional Connections, LLC is a comprehensive third-party provider of high-quality instructional support services for colleges and universities that offer fully online courses and degree programs. Institutions partner with Instructional Connections to support the delivery of their high-quality asynchronous online courses at an affordable cost. In the online course, students are assigned an Academic Coach, which may also be known as or referred to as a Teaching Assistant, Course Assistant, or Instructional Associate, depending on the program. We are currently working with over 50 US public and state universities across over 75 programs, and we expect to add several additional ones in the coming year. MORE ABOUT THE POSITION: Our Academic Coaches assist with the grading of assignments according to faculty instructions, monitor discussion threads, respond to inquiries and emails within 24 hours, monitor student engagement, provide online support, and regularly partner with the university faculty of record. Academic Coaches act as facilitators and graders, while the university faculty member is the instructor of record. Approximately 75% of the courses we support are accelerated, consisting of 5 to 9-week course cycles, and the programs offer fully online courses year-round, outside of traditional semester calendars, with 4 to 7 course term starts throughout the year. On average, an Academic Coach spends about 10-30 minutes per week, per student. However, this can vary based on the course level, subject area, specific course assigned, and the number of open-ended assignments involved. Academic Coaches who consistently complete coach assignments with positive feedback from their faculty will be considered for additional student loads or sections. Our objective is to prevent overextending a coach’s commitments to ensure their capacity to serve all assigned students effectively is not compromised. In the first assignment as an Academic Coach, the practical limit is around 50 students, with 30 being more typical. An experienced Academic Coach typically supports 75-90 students. A highly proficient coach with ample time may be assigned up to 120 students, but this is the upper limit. Compensation is calculated based on a per-student-per-course formula. Since we support all disciplines, course levels (undergrad, graduate, and doctoral), and courses from 5 to 16 weeks, specific per-student-per-course rates are not disclosed until an approved Academic Coach is assigned to a course by a Lead Coach. After submitting your application, if you are selected as a candidate to begin the first step in our vetting process, you will be scheduled for an Academic Coach Pre-Employment Screening (virtual interview) session. Invited participants should plan to dedicate 4 to 6 hours to the self-paced screening, which must be completed within one week (Monday to Sunday). The screening covers details about the role and expectations of an Academic Coach, reviews best practices in online education, explores various learning management systems (LMS), FERPA, and more. If a participant does not complete this screening within their scheduled week, they may request to be rescheduled for a future session. These sessions are offered twice each month, always starting on a Monday. After successfully completing the screening session and receiving a recommendation from the facilitator, you will move on to the next step in our vetting process—contracting. Being offered a contractor agreement depends on the successful completion of the background check. All Academic Coaching positions are considered part-time work as an independent contractor (1099). A complete "Contractor Package" is required and includes a comprehensive resume or CV, official transcripts or evaluations of foreign transcripts for all degrees earned (Bachelor’s, Master’s, Post-Graduate, and Doctorate), and all completed and signed onboarding documents (Signed Agreement, W-9, Direct Deposit, etc.). Once your contractor package is complete, your name will be added to our pool of vetted and qualified Academic Coaches who are ready and available for course assignments. Once in the pool, your resume will be accessible to our Lead Coaches for review and matching with potential assignments based on the credentials and experience requested by the university faculty in their coach request. Course assignments only become available as we receive Academic Coach Requests from our university partners for upcoming course starts. The need for new Academic Coaches mainly depends on student enrollments. All course assignments are not finalized until approved by the university and are coordinated with our Lead Coaches. We usually don't get reliable enrollment projections until about two weeks before a scheduled course start date. The new Academic Coach will receive a brief orientation to the assigned program and course. Course assignments are finalized close to the course start date and depend on several factors, including the area and level of graduate study, university approval, and student enrollment. Please carefully review the minimum requirements listed below before applying, as they are NOT negotiable; our university partners have set these criteria for any applicant to qualify for assignment. FOR BUSINESS PROGRAMS (Graduate-Level/Master's Degree): A minimum of a Master’s Degree in a business-related field, with at least 18 graduate-level credit hours completed in the specific course content area listed below, is REQUIRED. A Terminal Degree or actively pursuing a Terminal Degree is STRONGLY PREFERRED. Business degrees from AACSB or ACBSP-accredited institutions are strongly desired. Some experience in online higher education is a plus.Computer Science (Master’s Degree in Computer Science or a closely related area is REQUIRED)Data Analytics (Master’s Degree is REQUIRED, PhD or DBA preferred)Economics (Master’s Degree in Economics or a closely related area is REQUIRED)Finance (Master’s Degree is REQUIRED, PhD or DBA strongly preferred, CFP preferred)Information Technology Mgmt (Master’s Degree is REQUIRED)Digital & Social Media Marketing (Master’s Degree in Digital Marketing or a closely related area is REQUIRED) FOR COMPUTER SCIENCE PROGRAMS (Graduate-Level/Master's Degree):A minimum of a Master’s Degree in Computer Science or Information Technology related field with at least 18+ graduate-level credit hours completed in the specific course content area listed below is REQUIRED—3 to 5 years of industry experience in the field.Computer Science (Master’s Degree is REQUIRED)Computer/Software Programming (Master’s Degree is REQUIRED, experience in PYTHON strongly desired)Cybersecurity/IT Security (Master’s Degree is REQUIRED)Data Analytics/Quantitative Analysis with PYTHON experience (Master’s Degree REQUIRED, PhD or DBA may be preferred)Health Information Management/Health Informatics (Master’s REQUIRED, RHIA or RHIT is preferred)Information Technology Mgmt (Master’s Degree is REQUIRED) FOR NURSE PRACTITIONER PROGRAMS (Graduate/MSN/Post-Graduate Level):A current and valid RN license and a conferred Masters of Science in Nursing (MSN) or greater is required. However, a PhD in Nursing or DNP (doctorate/terminal degree) is strongly preferred for all MSN, Post-Grad NP, and DNP programs. NP candidates must be Board Certified; see below for specific area(s) of need. Nursing degrees must be from ACEN or CCNE-accredited institutions. A minimum of 3 years of nursing practice experience is required; prior teaching experience (trainer, clinical, preceptor, face-to-face, or online) is preferred.Adult-Gerontology Acute Care/Primary Care Nurse Practitioner [AGACNP-BC/AGPCNP-BC] (min. MSN in NP REQUIRED with NP License (APRN) and board certification with prescriptive authority)Pediatric Acute Care/Primary Care Nurse Practitioner [CPNP-PC/CPNP-AC] (min. MSN in NP REQUIRED with NP License (APRN) and board certification with prescriptive authority)Psychiatric Mental Health Nurse Practitioner [PMHNP] (min. MSN in NP REQUIRED with NP License(APRN) and board certification with prescriptive authority) FOR HEALTH SCIENCES/SERVICES PROGRAMS (Graduate/Master's Degree)A minimum of a Master's Degree with at least 18+ graduate-level credit hours completed in the specific course content area listed below is REQUIRED. Experience in online higher education is preferred. A doctorate/terminal degree may be preferred in some areas or for specific courses.Health Information Management/Health Informatics (Master’s REQUIRED, RHIA or RHIT is preferred)Human Nutrition/Dietetics (Master’s Degree in Nutrition or Dietetics REQUIRED)Radiologic Sciences (Master’s Degree is REQUIRED, with a valid Radiology Tech or other closely related Licensure/Certification)Respiratory Therapy (Master’s Degree is REQUIRED, with a valid Respiratory Therapy Licensure/Certification FOR OTHER DISCIPLINES (Undergraduate and/or Graduate Level):A minimum of a Master’s Degree with at least 18 graduate hours in the specific course content area listed below is REQUIRED; this does NOT include any undergraduate courses or credit hours. A Master's in Education or Teaching (MEd, MAT, etc.) is NOT suitable, as a Master's Degree in the specific content area is REQUIRED. Some experience in online higher education is preferred. A doctorate or terminal degree may be preferred in certain fields or for specific courses.Communication Studies (Master’s Degree in Communications or other closely related fields, experience teaching Business Communications or Business Writing in an online format is desired)Geology/Geography/Geographic Information Science (GIS)/Geospatial Intelligence (Master's Degree in GIS or closely related REQUIRED)Philosophy (Master’s Degree in Philosophy, Humanities, or other closely related field is REQUIRED)Statistics (Master’s Degree in Statistics or closely related area REQUIRED, experience in statistical modeling and analysis)Media/Motion Pictures/Film Studies (Master’s Degree in Media/Motion Pictures/Film Studies or other closely related field is REQUIRED) Please carefully review the minimum requirements listed above before applying, as they are NOT negotiable; our university partners have set these criteria for any applicant to qualify for assignment. We will evaluate educational degrees and certifications for qualification and consideration. Applications that do not meet the stated minimum requirements will not be reviewed or contacted. These virtual positions do not require residency in a specific city or state; however, all applicants must either be a U.S. citizen or possess a valid and current work authorization (EAD) from the U.S. Citizenship and Immigration Services (USCIS - ). Applicants for employment in the U.S. must possess current and valid work authorization that does not now or in the future require any sponsorship or other support/documentation of a visa for employment authorization (EAD) in the United States with Instructional Connections (i.e., H1-B visa, F-1 visa (OPT), TN visa, or any other non-immigrant status). Thank you; we appreciate your interest. \n\nCompany Description:\n\nInstructional Connections, LLC (IC) was established and incorporated in 2010. We are an independent, third-party provider of high-quality instructional support services to colleges and universities in the United States that offer online courses and degree programs. Higher education institutions partner with Instructional Connections to support the delivery of their high-quality asynchronous courses and programs, meeting the needs of growing enrollments and scaling their online offerings. Our Academic Coaches provide instructional support within the online courses, operating under the direction of the faculty. The Academic Coach may sometimes be referred to by a different title for various programs at the university's discretion, such as Teaching Assistant, Course Assistant, Instructional Associate, etc.\n\nWe currently work with 50+ public and state universities across the United States, supporting over 75 programs in various disciplines and subject areas, including Business (MBA, MAcc, MFin, MIS, MPA, etc.), Nursing (RN-BSN, MSN, NP, etc.), Health Sciences (MPH, MHA, MHS, etc.), Education (MAT, MEd, EdS, etc.), Computer Science (MCS, MSCS, MIT, etc.) and Criminal Justice.\n\nSometimes, we may be asked to help an institution in finding instructors, adjuncts, observers, and other educational professionals strictly on a limited, as-needed basis. \n\nAn Equal Opportunity Employer - M/F/D/V\n\nInstructional Connections, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Instructional Connections, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.\n\nInstructional Connections, LLC, expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Instructional Connections' employees and contractors to perform their job duties may result in discipline up to and including discharge.Instructional Connections, LLC (IC) was established and incorporated in 2010. We are an independent, third-party provider of high-quality instructional support services to colleges and universities in the United States that offer online courses and degree programs. Higher education institutions partner with Instructional Connections to support the delivery of their high-quality asynchronous courses and programs, meeting the needs of growing enrollments and scaling their online offerings. Our Academic Coaches provide instructional support within the online courses, operating under the direction of the faculty. The Academic Coach may sometimes be referred to by a different title for various programs at the university's discretion, such as Teaching Assistant, Course Assistant, Instructional Associate, etc.\r\n\r\nWe currently work with 50+ public and state universities across the United States, supporting over 75 programs in various disciplines and subject areas, including Business (MBA, MAcc, MFin, MIS, MPA, etc.), Nursing (RN-BSN, MSN, NP, etc.), Health Sciences (MPH, MHA, MHS, etc.), Education (MAT, MEd, EdS, etc.), Computer Science (MCS, MSCS, MIT, etc.) and Criminal Justice.\r\n\r\nSometimes, we may be asked to help an institution in finding instructors, adjuncts, observers, and other educational professionals strictly on a limited, as-needed basis. \r\n\r\nAn Equal Opportunity Employer - M/F/D/V\r\n\r\nInstructional Connections, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Instructional Connections, LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.\r\n\r\nInstructional Connections, LLC, expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Instructional Connections' employees and contractors to perform their job duties may result in discipline up to and including discharge.

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.Researche

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.Researche

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.Researche

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.Researche

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.Researche

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.Researche

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.Researche

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.Researche