HCC Coding Specialist, Temporary (FT & PT)

Sustainable World, Inc.; Northern (KY); Hybrid; USD 28,000 - 55,000; Full time

Benefits offered by this job

Remote work within the U.S.

Job summary

Virtix Health is seeking an experienced HCC Coding professional for a 100% remote role within the United States. The position supports full-time and part-time schedules (20-40 hours/week) with flexible hours, including nights and weekends after meeting quality/productivity goals.

You will use encoder software and advanced coding tools to review medical records and map diagnoses to HCC, RxHCC, and ESRD models.

Qualifications

• Minimum 6 months of 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.
• Leveraging retrospective HCC coding to review records, abstract ICD-10-CM codes, and map to HCC, RxHCC, ESRD models.
• Must maintain a quality score of 95% or higher.
• Must maintain productivity per project requirements.
• Experience with EMRs, billing systems, and abstraction platforms.

Responsibilities

• Review medical records and abstract ICD-10-CM codes.
• Accurately map codes to HCC, RxHCC, and ESRD models.
• Utilize encoder software and coding resources.
• Ensure privacy and security of patient information.
• Collaborate with the team to maintain high quality and productivity.
• Meet deadlines and adhere to client guidelines.

Skills

HCC coding

Retrospective coding

Communication

Independent remote work

Time management

Excel

Outlook

Education

AAPC or AHIMA credential required (CPC, CRC, COC, RHIT, CCS, CCS-P)

Tools

Encoder software

AHA Coding Clinic resources

EMRs

Billing systems

Abstraction platforms

Excel

Outlook

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.