DaVita Kidney Care · 1 month ago
Sr Analyst, Corp Compliance
United States
Full-time
Remote
Mid, Senior Level
$56K/yr - $84K/yr
3+ years expDaVita Kidney Care is seeking a highly motivated Medicare Risk Adjustment Auditor and Educator to join their compliance team. This role focuses on ensuring the accuracy and compliance of risk adjustment coding and clinical documentation, involving detailed medical chart audits and targeted education for providers and coding teams.
Health CareHospitalMedicalNutrition
Responsibilities
Ensure that IKC is compliant with industry regulations and published coding guidelines
Conduct retrospective, concurrent, and prospective audits of medical records to validate the accuracy of ICD-10-CM codes and ensure documentation supports submitted diagnoses for Medicare Risk Adjustment (HCC coding)
Perform detailed internal and external coding audits on a regular basis as defined by compliance requirements, including for our nephrology partners
Execute targeted audit plans, including performing targeted audits of identified HCC outliers
Identify trends, patterns, and areas of opportunity for documentation and coding improvement through data analysis and audit findings
Prepare and present formalized audit reports to leadership, summarizing findings, identifying risk areas, and recommending corrective action plans
Assist in internal and external audits, including Risk Adjustment Data Validation (RADV) audits, by preparing documentation and responding to inquiries
Perform necessary research to provide supportive regulatory and coding guideline documentation
Deliver comprehensive training programs and educational materials for providers, coders, and clinical staff on risk adjustment, proper documentation, and coding guidelines
Provide one-on-one and group education sessions based on audit findings, tailoring content to address specific needs and knowledge gaps
Serve as a risk adjustment coding resource and subject matter expert, offering guidance and clarification on coding and compliance questions
Stay current with official coding guidelines from CMS, HHS, and other regulatory bodies to ensure all educational content is accurate and up-to-date
Maintain meticulous records of audit findings, educational sessions, and follow-up actions to ensure a clear audit trail
Participate in special projects related to process improvement, compliance, and coding initiatives as assigned
Maintain strict confidentiality of patient and proprietary information
Qualification
Required
Current coding certification from AAPC or AHIMA is required (CCA and CPC-A are not accepted)
3+ years of coding experience
2-3 years' minimum recent experience performing medical audits for diagnosis coding
Strong computer skills, including the ability to utilize various EMR systems and Microsoft Office
Expert knowledge of ICD-10-CM and CMS-HCC risk adjustment models
Deep understanding of coding and documentation compliance, including CMS and HHS regulations
Excellent verbal and written communication skills, with the ability to present complex information clearly
Strong analytical and problem-solving skills with a high degree of accuracy and attention to detail
Demonstrated ability to work independently and collaboratively in a fast-paced, team-oriented environment
High school diploma or equivalent required
Basic computer skills and proficiency in MS Word, Excel, and Outlook required
Preferred
Proven experience in developing and delivering education and training to clinical providers and coders is highly preferred
Minimum of three (3) years' healthcare reimbursement experience preferred
Experience with admissions, billing, and collections preferred
Demonstrated knowledge of insurance rules, regulations and Coordination of Benefits for federal, state, and managed care payors in multiple states preferred
Benefits
Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more
Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.
Company
DaVita Kidney Care
DaVita means “to give life,” reflecting our proud history as leaders in dialysis—an essential, life-sustaining treatment for those living with end stage kidney disease (ESKD).
10001+ employees
H1B Sponsorship
DaVita Kidney Care has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (79)
2024 (53)
2023 (81)
2022 (74)
2021 (54)
2020 (66)
Funding
Current Stage
Public CompanyTotal Funding
$2.5B2025-05-20Post Ipo Debt· $750M
2024-08-08Post Ipo Debt· $1B
2021-02-24Post Ipo Debt· $750M
Leadership Team
Javier Rodriguez
CEO
Joel Ackerman
Chief Financial Officer
Recent News
EIN Presswire
2025-12-16
2025-12-11
2025-12-11
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