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Coding Specialist

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:
IT - Administration

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Contract Type:
Not provided

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Salary:

18.50 - 42.35 USD / Hour
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Job Description:

The Coding Specialist is responsible for verifying and ensuring the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on the documentation and services rendered. The Coding Specialist will be expected to adhere to ICD-10-CM Official Guidelines and any internal guidelines that support accurate and complete capture of the patient's holistic health picture.

Job Responsibility:

  • Verify and ensure accuracy, completeness, specificity, and appropriateness of diagnosis codes
  • Review health risk assessments/evaluations to assign ICD-10 codes
  • Identify opportunities to query providers for clarification of documentation
  • Communicate with supervisor regarding issues with health risk assessments
  • Maintain knowledge of coding, compliance, and reimbursement procedures
  • Make recommendations for coding policy/changes
  • Maintain coding certification
  • Complete special projects as assigned
  • Responsible for security and privacy of protected health information

Requirements:

  • Must hold an active CPC, COC, CCS, CCS-P or CCA
  • Current coding certification in good standing
  • Minimum of 1 year of ICD-10 coding experience
  • Experience with medical record documentation
  • Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology

Nice to have:

  • CRC certification
  • Prior work experience in healthcare field specifically related to coding
  • Experience and knowledge of Medicare, ACA Exchange or Medicaid HCC coding
  • Prior medical chart auditing/quality experience
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
September 19, 2025

Expiration:
September 19, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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