HCC Coding Specialist – Part Time

🕒 April 17

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Virtix Health

WebsiteLinkedInAll Job Openings

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

• Review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. • Follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements.

🎯 Requirements

• Must have a minimum of 6 months of recent retrospective HCC coding experience PLUS 1 years 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.

🏖️ Benefits

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