CMS-HCC Risk Validation Audit (RADV/IVA) - Up to $27 p/hr - PART TIME

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 CMS HCC/Risk Validation Audit role.

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

Candidates must be available to work a minimum 20 hours weekly. Flexible work hours - nights and weekends are acceptable.  

• Coders will review member and claim data validation aspects, which include: Member name, Member DOB, Gender, Dates of service, claim type, and provider signature.
• 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.
• Coder must have knowledge of ICD-10-CM IP and OP coding.
• Coders will confirm or not confirm each diagnosis
• Coders will add risk-adjusting diagnoses that are valid but not reported

• Active certification through AAPC or AHIMA is required
• 5 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