Coding Specialist, CVS Health

CVS Health

Location:
United States, Work at Home, Texas

Category:
Health and Beauty

Contract Type:
Employment contract

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, adhering to guidelines, and contributing to Medicare Risk Adjustment processes.

Job Responsibility:

Review health risk assessments/evaluations to accurately and completely assign all ICD-10 codes that are clinically identified and supported
Identify opportunities to query providers as necessary for clarification of documentation or conflict resolution
Communicate timely and effectively with the supervisor regarding issues with the health risk assessments/evaluations and/or corrections required
Understand the relationship between ICD-10 coding and HCC coding
Maintain adequate knowledge of coding, compliance, and reimbursement procedures related to Medicare Risk Adjustment
Make recommendations for coding policy/changes
Maintain coding certification after achieving certification status
Complete special projects as assigned by management
Ensure 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
CRC preferred
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 Medicare, ACA Exchange or Medicaid HCC coding preferred
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

What we offer:

Affordable medical plan options
401(k) plan including matching company contributions
Employee stock purchase plan
No-cost programs for 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:
November 12, 2025

Expiration:
November 28, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Coding Specialist

CVS Health

Location:United States, Work at Home, Texas

Category:Health and Beauty

Contract Type:Employment contract