CMS HCC Risk Adjustment (P)
Posted 2025-03-14Overview
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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