FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Coding Specialist
CVS Health. Review health risk assessments/evaluations for completion and compliance with CMS guidelines .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10 coding and risk adjustment coding, ensuring compliance with CMS guidelines and HIPAA requirements. Maintains coding credentials while effectively communicating and resolving coding issues.
Highest-signal resume keywords
ICD-10 CodingRisk Adjustment CodingCPC CertificationCRC CertificationMedical Record Documentation
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Diagnosis Code AssignmentCoding Compliance StandardsCoding Protocol GuidanceCoding Problem IdentificationMedical TerminologyAnatomy and Physiology KnowledgePharmacology KnowledgeQuality AuditingHealthcare Coding ProceduresAccuracy and Efficiency Standards
Soft Skills
TeamworkCommunication
Certifications & Qualifications
CPCCPC-ACOCCCSCCS-PCCARHITCRC
Industry Keywords
CMS GuidelinesHIPAA ComplianceHealthcare FieldRisk-Adjustment Coding ProceduresMedical Chart Auditing
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 accurately and completely
- Communicate issues and required corrections to the supervisor
- Apply knowledge of ICD-10 and HCC coding
- Provide coding protocol guidance to the Director of Coding for Medicare claims compliance
- 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
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 experience in ICD-10 coding
- 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
- Prior work experience in the healthcare field specifically related to coding preferred
- Prior medical chart auditing/quality experience preferred
- Ability to work overtime
- Ability to meet and maintain required accuracy and efficiency standards
- Must follow HIPAA, legal, and policy requirements for protected data
Benefits
Comp & perks- Medical, dental, and vision coverage
- 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
- Other resources supporting physical, emotional, and financial well-being