Remote HCC Quality Auditor | Coding & Compliance Specialist

Virtix Health LLC; Texas; Presencial; USD 65.000 - 95.000; Jornada completa

Descripción de la vacante

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

Formación

• 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

Responsabilidades

• 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

Conocimientos

HCC coding

Auditing

Medicare guidelines

Healthcare analytics

Herramientas

EMRs

Billing systems

Abstraction platforms

Descripción del empleo

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