Role Description
Risk Adjustment Coding Specialists are an important part of the Team at Virtix Health. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements. This is a remote position.
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Review, analyze and code patient medical records based on client specific guidelines for the project.
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Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment.
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Follow Risk Adjustment Data Abstraction Rules.
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Follow client/project specific guidelines.
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Maintain a quality score of 95% or higher.
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Maintain an ongoing productivity level based on project requirements.
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Ensure compliance with all privacy and security rules and regulations.
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Protect all Company confidential information, including Personal Health Information.
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All coders MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.)
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Acceptable credentials include CPC, CRC, COC, RHIA, RHIT, CCS, or CCS-P.
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Must have at least 1 year of HCC experience and 1 year of on-the-job coding experience.
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Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
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Must have a phone, reliable internet connection, and current coding materials such as ICD-10-CM coding references.
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Work from home and be independent in coding skills.
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Proficient in Microsoft programs like Excel and Outlook.
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Ability to communicate effectively and professionally both verbally and in writing.
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Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
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May be required to perform other duties as assigned by Leadership Team Member.
Qualifications
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Certified through AAPC or AHIMA (no apprenticeship designations).
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Acceptable credentials: CPC, CRC, COC, RHIA, RHIT, CCS, or CCS-P.
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Minimum of 1 year of HCC experience.
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Minimum of 1 year of on-the-job coding experience.
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Working knowledge of EMRs, Billing systems, abstraction platforms, etc.
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Proficient in Microsoft Excel and Outlook.
Requirements
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Maintain a quality score of 95% or higher.
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Maintain ongoing productivity based on project requirements.
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Ensure compliance with privacy and security rules.
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Protect Company confidential information.
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Ability to work independently from home.
Benefits
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Remote position.
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Investment in professional development and personal growth.