Position Overview
Risk Adjustment Coding Specialists are an important part of the Team at Virtix Health. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare and ICD-10-CM guidelines along with client‑specific requirements. Equipment and encoder software with access to the AHA Coding Clinic are provided. This is a remote position.
Essential Duties and Responsibilities
- Full time (40 hours/week) with flexible hours after quality and productivity goals are met.
- Work from home (within the U.S.).
- Maintain a quality score of 95% or higher.
- Maintain 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 compliance with all privacy and security rules and regulations, and protect all Company confidential information, including personal health information.
- Have working knowledge and experience with systems such as EMRs, billing systems, abstraction platforms, etc.
- Have a phone and a reliable internet connection.
- Be independent in coding skills and able to work from home.
- Proficient in Microsoft Excel and Outlook.
- Excel: open and add to a spreadsheet, perform basic formulas like adding or multiplying.
- Outlook: manage e‑mail and schedule and attend meetings.
- Ability to communicate effectively and professionally, both verbally and in writing.
- Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
- May be required to perform other duties as assigned by Leadership Team Member.
Qualifications
- Minimum 1 year of retrospective HCC coding experience plus 1 year of additional coding experience.
- Valid AAPC or AHIMA coding credential required (CPC, CRC, COC, RHIT, CCS, CCS‑P). Apprenticeship designations are not accepted.
- Maintain a quality score of 95% or higher and meet productivity targets.
Physical Demands
- Regular eye‑hand coordination and manual dexterity required to operate office equipment.
- Work at a computer terminal for 6‑8 hours a day in an environment with constant interruptions.
- Occasionally lift and move material weighing up to 20lbs.
- Experience elevated levels of stress during periods of increased activity and multiple deadlines.