Coding Specialist

Job not on LinkedIn

🔥 2 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $18 - $35 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Review health risk assessments/evaluations for completion and compliance with CMS guidelines • Assess the accuracy, completeness, specificity, and appropriateness of diagnosis codes • Assign all clinically identified and supported ICD-10 codes accurately and completely • Communicate with the supervisor regarding assessment issues and required corrections • Apply knowledge of ICD-10 and HCC coding • Provide guidance to the Director of Coding on Medicare coding protocol • Integrate coding compliance standards into coding practices • Identify, correct, and report coding problems • Maintain knowledge of compliant risk-adjustment coding procedures • Maintain coding credentials • Complete special projects assigned by management • Follow HIPAA requirements for protected data • Demonstrate teamwork and meet accuracy and efficiency standards

🎯 Requirements

• Must hold an active core credential: CPC, CPC-A, COC, CCS, CCS-P, CCA or RHIT • CRC required • Current coding certifications in good standing • Minimum of 1 year of ICD-10 coding experience • Prior work experience in the healthcare field specifically related to coding is preferred • Experience and knowledge of risk adjustment coding • Experience with medical record documentation • Prior medical chart auditing/quality experience preferred • Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology • Ability to work overtime • Ability to meet and maintain required accuracy and efficiency standards • Ability to follow legal and policy requirements for HIPAA protected data

🏖️ Benefits

• Medical, dental, and vision coverage • 401(k) retirement savings plan • Employee Stock Purchase Plan • Education assistance • Free development courses • Paid time off programs • Paid holidays • CVS store discount • Discount programs with participating partners • Wellness programs • Other resources supporting physical, emotional, and financial well-being

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