Risk Adjustment Coder

Gebbs Healthcare Solutions Inc

2d • Remote

About The Position

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.

Requirements

• Active certification through AAPC or AHIMA is required.
• Minimum 5 years verifiable risk adjustment coding experience post certification.
• Must be able to maintain a 95% accuracy rate and 3 CPH.
• US-Based Candidates Only.

Responsibilities

• Review member and claim data validation aspects, including Member name, Member DOB, Gender, Dates of service, claim type, and provider signature.
• Identify 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 risk-adjusting diagnoses that are valid but not reported.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed