CVS Health
10,000+ employees
Founded 1963
⚕️ Healthcare Insurance
🛒 Retail
🧘 Wellness
Healthcare Insurance • Retail • Wellness
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.
Health Services, Certified Professional Coder (CPC)
Job not on LinkedIn
🔥 1 hour ago
⚔️ Virginia, West Virginia – Remote
💵 $54.3k - $119.3k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🏥 Medical Billing and Coding
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CVS Health
10,000+ employees
Founded 1963
⚕️ Healthcare Insurance
🛒 Retail
🧘 Wellness
Healthcare Insurance • Retail • Wellness
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
• Coordinate the identification of potential claim editing & clinical program enhancements for Medicare compliance • Collaborate and partner with functional leads and other business areas • Provide support and management of savings opportunities and provider/customer deviation implementation
🎯 Requirements
• Certified Professional Coder (CPC) • 3+ years processing and/or researching claims for appropriate claim editing • 3+ years experience in successfully meeting project deliverables • 5+ years in Managed Care/Healthcare experience • Compliance Program Guidelines including CMS Medicare NCD/LCD • Medicare Rules and Regulations experience • Proficiency in ClaimsXten • High school Diploma Required - Bachelors Preferred
🏖️ Benefits
• Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs
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