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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Job Responsibility:
Ensures accurate coding and documentation of medical services, procedures, and diagnoses to support proper reimbursement and revenue generation
Assigns appropriate medical codes to diagnoses, procedures, and services based on detailed medical documentation
Reviews medical records, operative reports, and other relevant documents to accurately capture all billable services and ensure compliance with coding guidelines and regulations
Conducts coding audits and reviews to assess coding accuracy, compliance, and documentation completeness
Collaborates with revenue cycle management teams to optimize the coding process and ensure proper documentation for billing and reimbursement
Provides training and education to Revenue Cycle staff, healthcare providers, and other stakeholders to improve coding knowledge, accuracy, and documentation practices
Identifies areas for improvement and provides feedback to team members and key healthcare providers to enhance coding practices and ensure proper revenue capture
Utilizes leading-edge software, systems, and tools to support team activities, maintain data integrity, and generate accurate reports
Provides guidance, support, and mentorship, including junior team members by assisting with training initiatives, knowledge sharing, and performance evaluations to develop and enhance the skills development and competencies of the team
Requirements:
High school diploma or equivalent
5+ years work experience, ideally in a medical billing or call center environment
Experience with Excel
Nice to have:
Adept at problem solving and decision making skills
Certified Billing and Coding Specialist (CBCS) preferred
Experience working within Medical Billing Platform
Experience working with insurance overpayments and refunds
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching