HCC Coding Quality Specialist

🕒 July 31

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 36%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Virtix Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance • Technology

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

• Ensure that the codes captured are supported by the documentation within the record and are properly coded following Medicare guidelines, ICD-10-CM guidelines as well as client specific guidelines for the project. • Support your findings in a way the coder can easily identify and learn from the error. • Have strong and professional communication skills. • Be a resource for HCC coding team members by having a deep understanding of the project and coding guidelines. • Follow Risk Adjustment Data Abstraction Rules. • Assist with the creation of PowerPoints presentations for training purposes. • 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. • 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. • Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program. • Comply with all internal policies and procedures. • Regular, predictable, and punctual attendance is required.

🎯 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!