Remote HCC Quality Auditor | Coding & Compliance Specialist

Virtix Health LLC; Town of Texas (WI); On-site; USD 65,000 - 95,000; Full time

Job summary

Virtix Health LLC is seeking a Remote HCC Coding Quality Specialist to review the accuracy of HCC-coded records mapped to HCCs and RxHCCs in accordance with Medicare guidelines. The role requires AHIMA/AAPC certifications (CPC/CRC/CCS/CCS-P) and a minimum of 3 years in HCC coding with 2 years of auditing experience.

Experience with EMRs, billing systems, and abstraction platforms is essential. This is a nationwide remote position with a focus on quality and compliance, including privacy and

Qualifications

• Certified through AAPC or AHIMA (CPC/CRC/CCS/ CCS-P)
• Minimum 3 years HCC coding experience with 2 years auditing
• Experience with EMR and billing systems and abstraction platforms

Responsibilities

• Review accuracy of HCC coded records, including mapping to HCCs and RxHCCs
• Ensure codes are supported by documentation and follow Medicare guidelines
• Maintain 95%+ quality scores and ongoing productivity as required
• Assist with creation of training materials and PowerPoints
• Ensure compliance with privacy, security rules and AHIMA/Company ethics standards

Skills

HCC coding

Auditing

Medicare guidelines

Healthcare analytics

Tools

EMRs

Billing systems

Abstraction platforms

Job description

Virtix Health LLC is seeking a Remote HCC Coding Quality Specialist to review the accuracy of HCC-coded records mapped to HCCs and RxHCCs in accordance with Medicare guidelines. The role requires AHIMA/AAPC certifications (CPC/CRC/CCS/CCS-P) and a minimum of 3 years in HCC coding with 2 years of auditing experience.

Experience with EMRs, billing systems, and abstraction platforms is essential. This is a nationwide remote position with a focus on quality and compliance, including privacy and