CMS HCC Risk Adjustment (P)

Overview

CMS-HCC Risk Adjustment

GeBBS Healthcare Solutions, an industry leader in Health Information Management and Revenue Cycle Management, is seeking highly motivated individuals with a passion for excellence and collaboration for careers in the healthcare industry. Join this exciting team working remotely in a flexible Risk Validation Auditor role.

This is a W2 position for a seasonal project through May 2025. Other opportunities for continued work may be available at the conclusion of the project.

Responsibilities
?? Coders will review member and claim data validation aspects.
?? Coders will be presented with all risk-adjusting diagnoses billed on a claim for a particular date of service or inpatient stay
?? Must be able to identify acceptable provider specialty.
?? Coders will confirm or not confirm each diagnosis
?? Coders will add risk-adjusting diagnoses that are valid but not reported
Qualifications
?? Active certification through AAPC or AHIMA is required
?? 2 years risk adjustment coding experience post certification and must provide proof
?? Must be able to maintain a 95% accuracy rate and 3 CPH
?? US-Based Candidates Only
Employment Type: OTHER

Apply Job!