Coding Specialist

This is a fully remote position, open to applicants in Texas.

📋 Description

• Conduct reviews of health risk assessments/evaluations to ensure they are complete and compliant with CMS guidelines.

• Evaluate the accuracy, completeness, specificity, and appropriateness of diagnosis codes.

• Assign all clinically determined and justified ICD-10 codes.

• Communicate with the supervisor regarding any assessment issues and necessary corrections.

• Utilize knowledge of ICD-10 and HCC coding.

• Offer coding guidance to the Director of Coding concerning Medicare coding protocols.

• Incorporate coding compliance standards into coding practices.

• Identify, rectify, and report coding issues.

• Stay informed about compliant risk-adjustment coding procedures.

• Maintain coding credentials.

• Complete special projects as assigned by management.

• Adhere to HIPAA requirements for protected data.

• Exhibit teamwork and meet standards for accuracy and efficiency.

⛳️ Requirements

• Must possess an active core credential: CPC, CPC-A, COC, CCS, CCS-P, CCA, or RHIT.

• CRC certification is required.

• Current coding certifications must be in good standing.

• A minimum of 1 year of ICD-10 coding experience is required.

• Knowledge and experience in risk adjustment coding.

• Familiarity with medical record documentation.

• Advanced understanding of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology.

• Ability to work overtime as needed.

• Ability to achieve and maintain required accuracy and efficiency standards.

• Must comply with legal and policy requirements for HIPAA-protected data.

🏝️ Benefits

• Medical, dental, and vision insurance.

• 401(k) retirement savings plan.

• Employee Stock Purchase Plan.

• Educational assistance.

• Complimentary development courses.

• Paid time off programs.

• Paid holidays.

• Discounts at CVS stores.

• Discount programs with participating partners.

• Wellness programs.

• Various retirement savings options.

• Additional resources supporting physical, emotional, and financial well-being.

• Eligibility for potential bonus, commission, or short-term incentive programs.