Coding Specialist

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

📋 Description

• Evaluate health risk assessments/evaluations to ensure completion and adherence to CMS guidelines.

• Review the accuracy, completeness, specificity, and relevance of diagnosis codes.

• Assign all clinically identified and supported ICD-10 codes with precision and thoroughness.

• Communicate with the supervisor regarding assessment challenges and necessary corrections.

• Utilize knowledge of ICD-10 and HCC coding effectively.

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

• Embed coding compliance standards into everyday coding practices.

• Identify, rectify, and report any coding discrepancies.

• Stay updated on compliant risk-adjustment coding procedures.

• Maintain active coding credentials.

• Complete special projects as assigned by management.

• Adhere to HIPAA regulations regarding protected data.

• Exhibit teamwork while meeting established accuracy and efficiency benchmarks.

⛳️ 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 experience in ICD-10 coding is necessary.

• Previous work experience in the healthcare sector, specifically related to coding, is preferred.

• Familiarity with risk adjustment coding is essential.

• Experience with medical record documentation is required.

• Prior experience in medical chart auditing/quality assurance is preferred.

• Extensive knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology is required.

• Ability to work overtime as needed.

• Capacity to achieve and sustain required accuracy and efficiency standards.

• Ability to adhere to legal and policy requirements for HIPAA protected data.

🏝️ Benefits

• Medical, dental, and vision insurance coverage.

• 401(k) retirement savings plan.

• Employee Stock Purchase Plan.

• Educational assistance programs.

• Complimentary development courses.

• Paid time off benefits.

• Paid holidays.

• Discounts at CVS stores.

• Discount programs with participating partners.

• Wellness initiatives.

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