Job Overview
Job TitleHCC Coding Quality Specialist
Job TypeFull Time
Offered Salary$70,000
LocationHybrid
Who's the hiring manager?
Sign up to PitchMeAI to discover the hiring manager's details for this job. We will also write them an intro email for you.
Job Description
About the Role
Virtix Health is seeking a dedicated HCC Coding Quality Specialist to ensure the accuracy and compliance of medical coding. This role is crucial in maintaining the integrity of our risk adjustment processes and supporting our coding team. You will be responsible for auditing codes to ensure they are supported by documentation and adhere to all relevant guidelines.
Responsibilities
- Audit HCC and risk adjustment codes to ensure documentation support and compliance with Medicare, ICD-10-CM, and client-specific guidelines.
- Provide clear and constructive feedback to coders to facilitate learning and improvement.
- Serve as a subject matter expert for the HCC coding team, demonstrating a deep understanding of project requirements and coding guidelines.
- Adhere to Risk Adjustment Data Abstraction Rules.
- Assist in developing training materials and presentations.
- Maintain a minimum quality score of 95% and meet ongoing productivity requirements.
- Ensure compliance with all privacy, security, and confidentiality regulations, including HIPAA.
- Uphold ethical coding standards and company policies.
- Maintain regular and punctual attendance.
Qualifications
- Certification required: AAPC or AHIMA (CPC, CRC, CCS, or CCS-P). Apprenticeship designations are not accepted.
- Minimum of 3 years of HCC coding experience.
- Minimum of 2 years of auditing experience.
- Global experience is preferred.
- Proficiency with EMRs, Billing systems, and abstraction platforms.
What We Offer
- Remote work opportunity (within the U.S. ONLY) with a HIPAA-compliant home office setup.
- Equipment will be provided.
- Flexible scheduling after training and meeting initial goals.
- Full-time position (40 hours/week).
- Comprehensive benefits package including accrued PTO, paid holidays, medical, dental, vision insurance, 401k, and CEUs.
- Competitive hourly salary commensurate with experience.
Key Skills/Competency
- HCC Coding
- Quality Assurance
- Auditing
- Risk Adjustment
- ICD-10-CM
- Medicare Guidelines
- HIPAA
- EMR Systems
- Medical Coding
- Communication Skills
How to Get Hired at Virtix Health
- Customize your resume: Highlight your AAPC/AHIMA certification (CPC, CRC, CCS, or CCS-P), 3+ years of HCC coding, and 2+ years of auditing experience. Emphasize your familiarity with EMRs and billing systems.
- Craft a compelling cover letter: Clearly state your understanding of risk adjustment, Medicare guidelines, and your commitment to quality. Mention your preference for remote work within the U.S.
- Prepare for the interview: Be ready to discuss your auditing process, how you provide feedback, and your experience with ICD-10-CM and EMR platforms. Demonstrate your communication and problem-solving skills.
- Showcase your technical skills: Be prepared to discuss your experience with abstraction platforms and other relevant systems used in HCC coding quality assurance.
- Highlight your remote work readiness: Confirm you have a HIPAA-compliant home office and high-speed internet.
Frequently Asked Questions
Find answers to common questions about this job opportunity
01What certifications are accepted for the Virtix Health HCC Coding Quality Specialist role?
02What is the required experience for the HCC Coding Quality Specialist at Virtix Health?
03Is this a remote position, and are there any location restrictions for the HCC Coding Quality Specialist job?
04What systems knowledge is needed for the Virtix Health HCC Coding Quality Specialist role?
05What is the expected quality score for an HCC Coding Quality Specialist at Virtix Health?
06Does Virtix Health provide equipment for remote HCC Coding Quality Specialists?
07What benefits are offered for the full-time HCC Coding Quality Specialist role at Virtix Health?
Explore similar opportunities that match your background