HCC Coding Quality Specialist – Auditor

🕒 May 22

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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Logo of Virtix Health

Virtix Health

11 - 50 employees

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Technology • Wellness

Virtix Health is a company that partners with health plans across the country to enhance clinical, financial, and operational outcomes. They offer a variety of services, including virtual wellness visits, in-home health risk assessments, retrospective chart review, workflow technology, and patient engagement services. They specialize in risk adjustment coding and clinical data connectivity, providing technology solutions that automate data acquisition and improve the management of medical records. Their aim is to innovate how healthcare data is exchanged to elevate the performance of health plans of all sizes.

📋 Description

• Responsible for reviewing the accuracy of HCC coded records. • Support findings utilizing Medicare guidelines, ICD-10-CM guidelines, and client-specific requirements. • Provide guidance to coders based on documentation errors. • Maintain a quality score of 95% or higher. • Participate in training through PowerPoint presentations.

🎯 Requirements

• All auditors MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.) • Acceptable credentials would be CPC, CRC, CCS, or CCS-P. • Must have at least 3 years of HCC coding experience with 2 years of auditing experience. • Global experience preferred. • Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.

🏖️ Benefits

• Accrued PTO • Paid Holidays • Medical/Dental/Vision Insurance • 401k • CEUs and more!

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