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

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