HCC Coding Specialist; Temporary, Part Time

Job Summary

Risk Adjustment Coding Specialists are an important part of the HCC Coding Team at Virtix Health. The team member reviews medical records to abstract ICD-10 codes that map to HCCs, RxHCCs, and ESRD models, following Medicare, ICD-10-CM guidelines and client specific requirements.

• Review, analyze, and code patient medical records based on client specific guidelines.
• Use encoder software with access to AHA Coding Clinic.
• Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment.
• Follow Risk Adjustment Data Abstraction Rules.
• Ensure compliance with privacy and security rules and protect all company confidential information.
• Maintain a quality score of 95% or higher and ongoing productivity levels as required.
• Coordinate, analyze, observe, make decisions, and meet deadlines.
• May be required to perform other duties as assigned.

• Minimum 6 months recent retrospective HCC coding experience plus 1 year additional coding experience.
• A valid AAPC or AHIMA coding credential (CPC, CRC, COC, RHIT, CCS, CCS-P). Apprenticeship designations not accepted.
• Proficient with EMRs, billing systems, and abstraction platforms.
• Proficient in Microsoft Excel and Outlook; able to perform basic formulas and manage emails.
• Reliable phone and internet connection; independent work from home.
• Excellent verbal and written communication skills.

Remote / work from home within the United States. Part-time: 20-29 hours per week, with no less than 4-hour blocks between 6:00 AM – 9:00 PM EST. Flexible hours after quality and productivity goals are met.

Regular eye-hand coordination and manual dexterity to operate office equipment; ability to work at a computer terminal for 6-8 hours a day with constant interruptions; occasional lifting of material up to 20 lbs; potential for elevated stress during periods of increased activity.