Coding Specialist

CVS Health Careers

. Review health risk assessments/evaluations for completion and compliance with CMS guidelines .

Posted 11/12/2026full-timeRemote • Texas • United StatesJunior💰 $25 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in ICD-10 coding and risk adjustment coding, ensuring compliance with CMS guidelines and HIPAA requirements. Maintains coding credentials while providing accurate coding guidance and support to enhance coding practices.

Highest-signal resume keywords

ICD-10 Coding ExperienceRisk Adjustment CodingCPC, CPC-A, COC, CCS, CCS-P, CCA, RHIT CertificationMedical Record DocumentationHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10 CodingDiagnosis Code AssignmentCoding Compliance StandardsRisk Adjustment Coding ProceduresMedical TerminologyAnatomy and Physiology KnowledgePharmacology KnowledgeCoding Problem IdentificationCoding GuidanceAccuracy and Efficiency Standards

Soft Skills

TeamworkCommunicationAttention to DetailAbility to Work Overtime

Certifications & Qualifications

CPCCPC-ACOCCCSCCS-PCCARHITCRC

Industry Keywords

CMS GuidelinesHIPAA RequirementsHealth Risk AssessmentsCoding PracticesProtected Data

About the role

Key responsibilities & impact

Review health risk assessments/evaluations for completion and compliance with CMS guidelines
Assess the accuracy, completeness, specificity, and appropriateness of diagnosis codes
Assign all clinically identified and supported ICD-10 codes
Communicate with the supervisor regarding assessment issues and required corrections
Apply knowledge of ICD-10 and HCC coding
Provide coding guidance to the Director of Coding regarding Medicare coding protocol
Integrate coding compliance standards into coding practices
Identify, correct, and report coding problems
Maintain knowledge of compliant risk-adjustment coding procedures
Maintain coding credentials
Complete special projects assigned by management
Follow HIPAA requirements for protected data
Demonstrate teamwork and meet accuracy and efficiency standards

Requirements

What you’ll need

Must hold an active core credential: CPC, CPC-A, COC, CCS, CCS-P, CCA or RHIT
CRC required
Current coding certifications in good standing
Minimum of 1 year of ICD-10 coding experience
Experience and knowledge of risk adjustment coding
Experience with medical record documentation
Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology
Ability to work overtime
Ability to meet and maintain required accuracy and efficiency standards
Must follow legal and policy requirements for HIPAA-protected data

Benefits

Comp & perks

Medical, dental, and vision benefits
401(k) retirement savings plan
Employee Stock Purchase Plan
Education assistance
Free development courses
Paid time off programs
Paid holidays
CVS store discount
Discount programs with participating partners
Wellness programs
Retirement savings options
Other resources supporting physical, emotional, and financial well-being
Potential bonus, commission, or short-term incentive program eligibility