Aviacode · 2 days ago

CMS-HCC Risk Validation Audit (RADV/IVA)

United States

Full-time

Remote

Mid, Senior Level

$27/hr - $27/hr

5+ years exp

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Enterprise SoftwareHealth Care

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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.

Qualification

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AAPCAHIMA certificationRisk Adjustment CodingMaintain 95% accuracy rate3 CPH