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Coding Specialist
CVS Health
Texas, United States
Full Time
Remote
Junior
USD 38,480 – 73,403
Professional Certificate
Healthcare
Healthcare Life Sciences
Posted 1 day ago
Job summary
Responsible for ICD-10 coding of health risk evaluations and reviews for accuracy, completeness, and compliance with CMS guidelines, under supervision, to support accurate risk adjustment and healthcare payment.
Responsibilities
The Coding Specialist is responsible for performing ICD-10 coding on health risk evaluations for commercial and government members to ensure accuracy and compliance with CMS guidelines. They also provide guidance on coding protocols and maintain documentation standards to support effective care coordination.
Qualifications
CMS guidelines
Coding compliance
Hierarchical condition category (HCC)
ICD-10 coding
Medical documentation
Medical record auditing
Medical terminology
Pharmacology
Physiology and anatomy
Risk adjustment coding
Candidates must hold an active core coding credential such as CPC, CCS, or RHIT, along with a required CRC certification. A minimum of one year of experience in ICD-10 coding and knowledge of risk adjustment methodologies are essential for this role.
English
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k) retirement savings plan
- Employee stock purchase plan
- Education assistance
- Paid time off
- Paid holidays
- CVS store discount
- Wellness programs
Company
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Coding Specialist
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