HCC Coding Specialist (Temp/FT & PT available)

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

Risk Adjustment Coding Specialists are an important part of the Team at Virtix Health. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements.

Equipment provided along with Encoder software with access to AHA Coding Clinic

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Note:

The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

• Full Time (40 hours/week)
• Part Time (20-29 hours/week)
• Flexible hours after quality and productivity goals are met.
• Remote/Work from home (within the U.S.)
• Must have a minimum of 1 year of retrospective HCC coding experience plus 1 year of additional coding experience.
• A valid AAPC or AHIMA coding credential required.
• Acceptable credentials would be CPC, CRC, COC, RHIT, CCS, or CCS-P. Apprenticeship designations are not accepted.
• Will be required to maintain a quality score of 95% or higher.
• Will be required to maintain an ongoing productivity level based on project requirements.
• Review, analyze, and code patient medical records based on client specific guidelines.
• Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment.
• Follow Risk Adjustment Data Abstraction Rules.
• Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.
• Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
• Must have a phone and reliable internet connection.
• Team Member must be able to work from home and be independent in their coding skills.
• Must be proficient in Microsoft programs like Excel and Outlook.
• Excel: you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.
• Outlook: you should be able to manage emails and schedule and attend meetings.
• Ability to communicate effectively and professionally both verbally and written.
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
• May be required to perform other duties as assigned by Leadership Team Member.