HCC Coding Specialist, Temporary (FT & PT)

Sacbar; Northern (KY); Hybrid; USD 70,000 - 110,000; Full time

Benefits offered by this job

Remote work

Flexible hours

Equipment provided

Career development

Job summary

Virtix Health is seeking an experienced HCC coding professional for a fully remote role. Candidates should have retrospective HCC coding experience and hold a current AAPC or AHIMA credential, with specific CPT/ICD-10 training to map diagnoses to HCC, RxHCC, and ESRD models.

The role requires reviewing medical records in EMR/billing systems, using encoder software, and collaborating with a results-driven team. Maintain a 95% quality score and adapt to project-based productivity demands.

Qualifications

• Current AAPC or AHIMA credential required.
• Retrospective HCC coding experience and general coding experience required.
• Must be proficient with ICD-10-CM guidelines for accurate code assignment.

Responsibilities

• Review medical records and abstract ICD-10-CM codes mapping to HCC, RxHCC, and ESRD models.
• Work with encoder software and coding resources to ensure coding accuracy.
• Maintain a quality score of 95% or higher and meet productivity targets.

Education

AAPC or AHIMA credential

CPC/CRC/COC/RHIT/CCS/CCS-P credential

Tools

EMRs

Billing systems

Abstraction platforms

Encoder software

Job description

Are you an experienced HCC Coding professional looking for a flexible, remote opportunity that fits your lifestyle? At Virtix Health, we're passionate about helping clients exceed their financial health goals through innovative solutions, clinical expertise, and industry-leading technology. We believe our people are our greatest asset, which is why we invest in your professional development, personal growth, and long-term career success.

What makes this opportunity stand out?

• 100% Remote - Work from anywhere within the U.S.
• Full Time and Part Positions (20-40 hours per week)
• Flexible Hours - Enjoy greater scheduling flexibility once quality and productivity goals are achieved. Nights and Weekends available!
• Equipment and Coding Resources Provided
• Supportive Culture focused on professional growth and career development

Required Experience & Credentials

• Minimum of 6 months of recent retrospective HCC coding experience, plus 1 year of coding experience
• Current AAPC or AHIMA credential required
• Accepted credentials: CPC, CRC, COC, RHIT, CCS, or CCS-P
• Apprenticeship designations are not accepted
• In this role, you'll leverage your expertise in retrospective HCC coding to review medical records, abstract ICD-10-CM codes, and accurately capture diagnoses that map to HCC, RxHCC, and ESRD models. You'll work with advanced coding tools, including encoder software and access to AHA Coding Clinic resources, while collaborating with a team committed to excellence and accountability.
• 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.

If you meet the qualifications, you will receive an email with the assessment link. Completing the assessment is the first step in the interviewing process.