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GeBBS Healthcare Solutions
Alabama, United States
1 day ago

Description

GeBBS Healthcare Solutions, an industry leader in Health Information Management (HIM) and Revenue Cycle Management (RCM) solutions, is seeking highly-motivated individuals with a passion for excellence & collaboration, for careers in the healthcare industry.

Job Title: Risk Adjustment Auditor

 
Summary:

GeBBS Healthcare Solutions is seeking Risk Adjustment Auditors to join the Payer Solutions team.  Risk Adjustment Auditors will work with multiple clients and will audit teams of  Risk Adjustment Coding Specialists.  This is a Remote role and will start immediately.    

Roles and Responsibilities:

  • Reviews submitted coded medical records to identify ICD-10-CM diagnoses, that map to a Risk Adjusted HCC and or RxHCC ensuring the documentation meets all CMS standard requirements for valid HCC Submission
  • Reviews all codes for diagnoses and services accurately and completely that have been submitted by initial coder, from the medical record in accordance    with the ICD-10-CM coding classification systems
  • Identifies any errors attributed by the coder for correct code selection
  • Reviews documentation for missed conditions
  • Participates effectively in clinical documentation improvement initiatives and team meetings to promote quality across all projects
  • Complies with policies and procedures for confidentiality of all patient records and security of systems




Requirements

Minimum Qualifications and Requirements

  • 5+ years’ experience performing HCC retrospective risk adjustment chart review and coding/auditing required
  • 5+ years’ experience performing ICD-9-CM/ ICD-10-CM coding and auditing required
  • High School Diploma or GED required
  • CPMA and CPC credential required
  • Demonstrates effective time management skills by completing assignments within time constraints and calendar schedule
  • Communicates professionally and effectively with clients, coding staff and GeBBS corporate staff


Equal Opportunity Employer
GeBBS is an equal opportunity employer and believes in creating a supportive and diverse workplace. We want to have the best available people in every job. Therefore, the Company does not discriminate, and does not permit its employees to discriminate.

Learn more about GeBBS Healthcare Solutions
www.gebbs.com
www.linkedin.com/company/gebbs-healthcare-solutions

Job Information

  • Job ID: 59346688
  • Location:
    Alabama, United States
    Arizona, United States
    Arkansas, United States
    California, United States
    Colorado, United States
    Connecticut, United States
    Delaware, United States
    Dist. Columbia, United States
    Florida, United States
    Georgia, United States
    Idaho, United States
    Illinois, United States
    Indiana, United States
    Iowa, United States
    Kansas, United States
    Kentucky, United States
    Louisiana, United States
    Maine, United States
    Maryland, United States
    Massachusetts, United States
    Michigan, United States
    Minnesota, United States
    Mississippi, United States
    Missouri, United States
    Montana, United States
    Nebraska, United States
    Nevada, United States
    New Hampshire, United States
    New Jersey, United States
    New Mexico, United States
    New York, United States
    North Carolina, United States
    North Dakota, United States
    Ohio, United States
    Oklahoma, United States
    Oregon, United States
    Pennsylvania, United States
    Rhode Island, United States
    South Carolina, United States
    South Dakota, United States
    Tennessee, United States
    Texas, United States
    Utah, United States
    Vermont, United States
    Virginia, United States
    Washington, United States
    West Virginia, United States
    Wisconsin, United States
    Wyoming, United States
  • Position Title: Risk Adjustment Auditor
  • Company Name: GeBBS Healthcare Solutions
  • Job Function: Auditing
  • Job Type: Part-Time
  • Job Duration: 6-12 Months
  • Min Education: High School
  • Min Experience: 5-7
  • Required Travel: 0-10%

Please refer to the company's website or job descriptions to learn more about them.

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