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CMS HCC Risk Adjustment (P)

Remote, USA Full-time Posted 2025-11-03
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. 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 Employment Type: OTHER Apply Job!  

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