Overview: This is a REMOTE position.
Virtix Health has FT REMOTE W2 HCC Coding Quality Specialist opportunities (details below) and since you have applied to positions with us in the past, I wanted to bring this opportunity to your attention in hopes that you may be interested.
The ideal candidate WILL HAVE a minimum of 2 years of recent HCC auditing experience (auditing other coders and providing feedback) along with at least 3 years of recent HCC/Risk Adjustment coding experience. This role involves auditing a global team of Risk Adjustment coders.
All HCC/Risk Adjustment 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 AND have at least 3 years of HCC coding experience with 2 years of auditing experience. Global experience is preferred.Job Summary:
- Ensure that the codes captured are supported by the documentation within the record and are properly coded following Medicare guidelines, ICD-10-CM guidelines, as well as client specific guidelines for the project.
- Support your findings in a way the coder can easily identify and learn from the error.
- Have strong and professional communication skills.
- Be a resource for HCC coding team members by having a deep understanding of the project and coding guidelines.
- Follow Risk Adjustment Data Abstraction Rules.
- Assist with the creation of PowerPoints presentations for training purposes.
- 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.
- 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.
- 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.
- Comply with all internal policies and procedures.
- Regular, predictable, and punctual attendance is required.
Qualifications:
- 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 at least 3 years of HCC coding experience with 2 years of auditing experience. Global experience is preferred.
- Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
Pay: $30.00 - $34.00 per hour
Benefits:
Experience:
- RA/HCC coding: 3 years (Required)
- auditing other HCC/RA coders work : 2 years (Required)
- providing feedback to other RA/HCC coders after audit: 2 years (Preferred)
Work Location: Remote
