Virtix

HCC Coding Quality Specialist (Auditor)

US - Remote · Full-time

Sponsorship not specifiedDetected 34 days ago

ComplianceAuditingHIPAAICD-10LeadershipCommunicationPublic Speaking

About the role

HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our HCC coded records, specifically those that map to HCCs and RxHCCs.
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.
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.

This position may perform all or most of the primary duties listed below.
Auditors will support their findings utilizing Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements.
Support your findings in a way the coder can easily identify and learn from the error.
Align conduct with AHIMA's Standards of Ethical Coding and the Company's Code of Ethics and Business Conduct and support the Company's Ethics and Compliance Program.
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.

All auditors MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.) Acceptable credentials would be CPC, CRC, CCS, or CCS-P.
Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
Full-time (40 hours/week) you MUST be available for full time hours.
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.
Regular, predictable, and punctual attendance is required.
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.
Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs.
Team Member must be able to lift and move material weighing up to 20 lbs.
Must have at least 3 years of HCC coding experience with 2 years of auditing experience. Global experience preferred.

The ideal candidate will have at least 2 years of recent HCC Auditing experience in addition to 3 years of recent HCC/RA coding experience.
Global experience preferred.
Must have at least 3 years of HCC coding experience with 2 years of auditing experience.

Have strong and professional communication skills.
It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities.

You need a HIPAA compliant home office, high-speed secure internet connection, equipment will be provided.
Flexible scheduling after training, quality and productivity goals are met.
Benefits: Accrued PTO, Paid Holidays, Medical/Dental/Vision Insurance, 401k, CEUs and more!
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.

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.
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.
You will be auditing the global team of Risk Adjustment coders.
The company has reviewed this job description to ensure that the essential functions and basic duties have been included.
A job description is only intended as a guideline and is only part of the

This listing is sourced directly from Virtix's careers page and normalized into a canonical job model.