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Risk Adjustment Coder - Remote; P
Remote / Online - Candidates ideally in
Fresno, Fresno County, California, 93650, USA
Listed on 2026-10-30
Fresno, Fresno County, California, 93650, USA
Listing for:
Default GeBBS Healthcare Solutions
Full Time, Seasonal/Temporary, Remote/Work from Home
position Listed on 2026-10-30
Job specializations:
-
Healthcare
Medical Billing and Coding
Job Description & How to Apply Below
Job Description
This is a flexible CMS HCC / Risk Validation Audit role for a seasonal project. Other opportunities for continued work may be available at the conclusion of the project. Flexible work hours - nights and weekends are acceptable.
Responsibilities- 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
- 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.
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