GeBBS

CMS HCC Risk Adjustment

Job ID
2024-3544
# of Openings
35
Category
Medical Coding
Minimum Hours
20
Type
Regular Full-Time

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. 

Candidates must be available to work in Pacific time 8a - 4:30p, preference is for FT 40 hours weekly.  

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

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