HCC Coding Specialist (Temporary, Part Time)

Virtix Health LLC; Town of Texas (WI); On-site; USD 34,000 - 48,000; Part time

Job summary

Virtix Health LLC is seeking a part-time, fully remote Risk Adjustment Coding Specialist to join our team. You will review medical records, abstract ICD-10-CM codes, and map them to HCC, RxHCC, and ESRD models using encoder software and clinical guidelines.

The role requires 6 months of retrospective HCC coding experience and an active AAPC/AHIMA credential. Expect 20–29 hours per week with flexible scheduling and a strong emphasis on accuracy and productivity.

Qualifications

• Minimum of 6 months of recent retrospective HCC coding experience.
• Current AAPC or AHIMA credential required (CPC, CRC, COC, RHIT, CCS or CCS-P).
• Must have reliable internet and ability to work from home in a remote environment.

Responsibilities

• 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 and maintain quality scores.
• Maintain productivity levels as required by project requirements.

Skills

HCC coding

Remote work

Attention to detail

Excel

Outlook

Education

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

Tools

EMR systems

Billing systems

Abstraction platforms

Encoder software

Job description

About Us:Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.JOB SUMMARY:ESSENTIAL DUTIES AND RESPONSIBILITIES:Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Join a Team That Invests in Your Success—On Your Schedule!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.We're currently seeking an experienced Risk Adjustment Coding Specialist to join our growing team. This part-time, fully remote position offers the flexibility to work from home, create a schedule that works for you, and enjoy increased autonomy once quality and productivity expectations are consistently met.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.This is a remote positionWhat makes this opportunity stand out?100% Remote – Work from anywhere within the U.S.Flexible Part-Time Schedule – 20–29 hours per week, with work available 7 days a week! Scheduled hours will be between 6:00 AM and 9:00 PM ESTFlexible Hours – Enjoy greater scheduling flexibility once quality and productivity goals are achieved. Weekend and Evenings hours will become available!Equipment and Coding Resources ProvidedSupportive Culture focused on professional growth and career developmentRequired Experience & CredentialsMinimum of 6 months of recent retrospective HCC coding experiencePlus 1 additional year of coding experienceCurrent AAPC or AHIMA credential requiredAccepted credentials: CPC, CRC, COC, RHIT, CCS, or CCS-PApprenticeship designations are not acceptedIf you're a detail-oriented coder who thrives in an independent, remote environment and wants the flexibility to balance work with life while making a meaningful impact, we'd love to hear from you. Join Virtix Health and help drive better outcomes for the clients and communities we serve.If you meet the qualifications, you will receive an email with instructions for the assessment. Taking the assessment is the first step in the interviewing process.ESSENTIAL DUTIES AND RESPONSIBILITIES:Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.Part-Time is 20-29 hours per week. Team members may work no less than 4-hour blocks at a time, M-F between the hours of 6:00 AM – 9:00 PM ESTFlexible hours after quality and productivity goals are met.Remote/Work from home (within the U.S.)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.May be required to perform other duties as assigned by Leadership Team Member.Training:Training schedule is a required 9am- 5pm EST Mon-Wed of the first week of employment.Training Conducted when released to code team:Part-Time (PT) New Hires must be available for coaching within a 4-hour block between 6:00 AM EST and 6:00 PM EST each day for the first 10 business days (Monday–Friday) after being released to the coding team.PHYSICAL DEMANDS:Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.