GeBBS Healthcare Solutions is a KLAS rated leading provider of Revenue Cycle Management (RCM) services and Risk Adjustment solutions. GeBBS’ innovative technology, combined with over 14,000-strong global workforce, helps clients improve financial performance, adhere to compliance, and enhance the patient experience. Headquartered in Los Angeles, CA, GeBBS is backed by ChrysCapital, one of the premier private equity funds based out of India. GeBBS has won numerous accolades for its medical coding outsourcing and medical billing outsourcing, including being ranked in Modern Healthcare’s Top 10 Largest RCM Firms, Black Book Market Research’s Top 20 RCM Outsourcing Services, and Inc. 5000’s fastest growing private companies in the U.S. For more information, please visit www.gebbs.com.

Job description

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

Required profile