Coding Specialist

Job not on LinkedIn

🔥 0 minutes ago

🤠 Texas – Remote

infoinfo

💵 $18 - $35 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

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Logo of CVS Health

CVS Health

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 issues and required corrections to the supervisor • Apply knowledge of ICD-10 and HCC coding • Provide coding protocol guidance to the Director of Coding for Medicare claims compliance • 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

🎯 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 experience in ICD-10 coding • Experience and knowledge of risk adjustment coding • Experience with medical record documentation • Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology • Prior work experience in the healthcare field specifically related to coding preferred • Prior medical chart auditing/quality experience preferred • Ability to work overtime • Ability to meet and maintain required accuracy and efficiency standards • Must follow HIPAA, legal, and policy requirements for 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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