Overview:
CMS-HCC Risk Validation Audit (RADV/IVA) - Up to $27 p/hr - FULL 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 30 hours weekly. Preference is for 40 hours weekly. Flexible work hours - nights and weekends are acceptable.
Responsibilities:
- Coders will review member and claim data validation aspects, which include: Member name, Member DOB, Gender, Dates of service, claim type, and provider signature.
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Coders will be presented with all risk-adjusting diagnoses billed on a claim for a particular date of service or inpatient stay
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Must be able to identify acceptable provider specialty.
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Coder must have knowledge of ICD-10-CM IP and OP coding.
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Coders will confirm or not confirm each diagnosis
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Coders will add risk-adjusting diagnoses that are valid but not reported
Qualifications:
- Active certification through AAPC or AHIMA is required
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5 years risk adjustment coding experience post certification and must provide proof
- Must be able to maintain a 95% accuracy rate and 3 CPH
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US-Based Candidates Only