CMS-HCC Risk Validation Audit (RADV/IVA)

Department
Coding Operations
Job posted on
22/05/2024
Employment Type
Full Time
Experience range
5+ Years

Job description

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.  

  • 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
  • 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.
  • Coder must have knowledge of ICD-10-CM IP and OP coding.
  • Coders will confirm or not confirm each diagnosis
  • Coders will add risk-adjusting diagnoses that are valid but not reported

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