Remote HCC Coding Quality Specialist

Virtix Health, LLC.; Northern (KY); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Virtix Health is seeking a remote HCC Coding Quality Specialist to review coded records for accuracy, focusing on mappings to HCCs and RxHCCs. You will support findings using Medicare ICD-10-CM guidelines and client-specific rules, while helping train others and maintaining high quality metrics.

Required are at least 3 years in HCC coding with 2 years auditing, certification through AAPC or AHIMA, and experience with EMRs, billing systems, and abstraction platforms.

Qualifications

• Must be certified through AAPC or AHIMA (CPC, CRC, CCS, or CCS-P).
• Minimum 3 years HCC coding experience with 2 years auditing experience.
• Working knowledge of EMRs, billing systems, and abstraction platforms.

Responsibilities

• Review accuracy of HCC coded records, including mappings to HCCs and RxHCCs.
• Support findings with Medicare ICD-10-CM guidelines and client guidelines.
• Maintain a quality score of 95%+ and productivity targets; assist with training materials.

Skills

HCC coding experience

Auditing experience

Medicare guidelines

Education

AAPC or AHIMA certification (CPC/CRC/CCS/CCS-P)

Tools

EMRs

Billing systems

Abstraction platforms

Job description

Virtix Health is seeking a remote HCC Coding Quality Specialist to review coded records for accuracy, focusing on mappings to HCCs and RxHCCs. You will support findings using Medicare ICD-10-CM guidelines and client-specific rules, while helping train others and maintaining high quality metrics.

Required are at least 3 years in HCC coding with 2 years auditing, certification through AAPC or AHIMA, and experience with EMRs, billing systems, and abstraction platforms.