Coding specialist, CVS Health

CVS Health

Location:
United States

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. 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 the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on documentation and services rendered
Review health risk assessments/evaluations to accurately assign ICD-10 codes
Identify opportunities to query providers for clarification of documentation
Communicate effectively with supervisor regarding issues with health risk assessments
Maintain knowledge of coding, compliance, and reimbursement procedures related to Medicare Risk Adjustment
Make recommendations for coding policy/changes
Maintain coding certification
Complete special projects as assigned by management
Ensure security and privacy of all 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 the 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
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 23, 2025

Expiration:
November 28, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Coding specialist