HCC Coding Specialist Full Time

CorroHealthTX-Remote, TX
Remote

About The Position

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.

Requirements

  • 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.
  • All coders MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.) Acceptable credentials would be CPC, CRC, COC, RHIA, RHIT, CCS, or CCS-P.
  • Must have at least a minimum of 1 year of HCC experience as well as 1 year on the job coding experience.
  • Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
  • Must have a phone, reliable internet connection and current coding materials such as ICD-10-CM coding references.
  • Team Member must be able to work from home and be independent in their coding skills.
  • Must be proficient in Microsoft programs like Excel and Outlook.
  • Ability to communicate effectively and professionally both verbally and written.
  • Ability to coordinate, analyze, observe, make decisions, and meet deadlines.

Nice To Haves

  • Excel: you should be able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.
  • Outlook: you should be able to manage emails and schedule and attend meetings.

Responsibilities

  • Review, analyze and code patient medical records based on client specific guidelines for the project.
  • Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment.
  • Follow Risk Adjustment Data Abstraction Rules.
  • Follow client/project specific guidelines.
  • 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.
  • May be required to perform other duties as assigned by Leadership Team Member.
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