This is a flexible CMS HCC/Risk Validation Audit role for a seasonal project. Additional opportunities for continued work may be available at the conclusion of the project. Full-time opportunities are available at either 30 or 40 hours per week.
Flexible work hours are available, and nights and weekends are acceptable.
Coders will:
- Review member and claim data validation details, including member name, date of birth, gender, dates of service, claim type, and provider signature
- Review all risk-adjusting diagnoses billed on a claim for a particular date of service or inpatient stay
- Identify acceptable provider specialty
- Confirm or not confirm each diagnosis
- Add valid risk-adjusting diagnoses that were not reported
Requirements & Qualifications
- Active certification through AAPC or AHIMA
- Minimum 5 years of verifiable risk adjustment coding experience post-certification
- Ability to maintain a 95% accuracy rate and 3 CPH
- Knowledge of ICD-10-CM inpatient and outpatient coding
- U.S.-based candidates only
Location
Connecticut, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 week ago