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CMS HCC Risk Adjustment (P)

Remote: 
Full Remote
Contract: 
Experience: 
Senior (5-10 years)
Work from: 

Offer summary

Qualifications:

Active certification through AAPC or AHIMA, 5 years risk adjustment coding experience post certification, Must maintain a 95% accuracy rate, 3 CPH required, US-Based Candidates Only.

Key responsabilities:

  • Review member and claim data validation aspects
  • Identify acceptable provider specialty
  • Confirm or not confirm each diagnosis
  • Add valid risk-adjusting diagnoses not reported
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Job description

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 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 of 20 hours weekly.  Flexible work hours - nights and weekends are acceptable.  

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
  • 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

Required profile

Experience

Level of experience: Senior (5-10 years)
Industry :
Health Care
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Time Management
  • Collaboration
  • Detail Oriented

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