HCC Quality Auditor – TEMP

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 15%

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

• Review the accuracy of HCC-coded records, specifically records mapping to HCCs and RxHCCs • Support audit findings using Medicare, ICD-10-CM, and client-specific guidelines • Ensure captured codes are supported by record documentation and properly coded • Explain findings so coders can easily identify and learn from errors • Serve as a resource for HCC coding team members through deep knowledge of project and coding guidelines • Follow Risk Adjustment Data Abstraction Rules • Assist with creating PowerPoint presentations for training • Protect confidential company information, including Personal Health Information • Align conduct with AHIMA’s Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct • Comply with internal policies and procedures

🎯 Requirements

• Certification through either AAPC or AHIMA required; acceptable credentials include CPC, CRC, CCS, or CCS-P • Apprenticeship designations are not accepted • At least 3 years of HCC coding experience • 2 years of auditing experience • Working knowledge and experience with EMRs, billing systems, abstraction platforms, and similar systems • Ability to maintain a quality score of 95% or higher • Ability to maintain ongoing productivity based on project requirements • Ability to work at a computer terminal for 6–8 hours per day • Ability to sit for prolonged periods • Ability to lift and move material weighing up to 20 lbs. infrequently • Regular, predictable, and punctual attendance required • Compliance with privacy, security, confidentiality, ethical coding, company policies, and procedures

🏖️ Benefits

• Professional development and personal growth opportunities