Hybrid CMS HCC Risk Adjustment - Part Time CMS HCC Risk Adjustment - Part Time
GeBBS Healthcare Solutions · United States (Remote) · nan, Stati Uniti d'America · Hybrid
About the job
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 up to 29 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.
- 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