Signify Health
Description
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Job Description
Primary Job Duties & Responsibilities
Reviews health risk assessments/evaluations to determine completion and compliance with CMS guidelines on a timely basis.
Reviews and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes identified in the health risk assessments/evaluations.
Reviews health risk assessments/evaluations to accurately and completely assign all ICD-9/10 codes that are clinically identified and supported in the assessment/evaluation on a timely basis.
Communicates timely and effectively with supervisor regarding issues with the health risk assessments/evaluations and/or corrections required to the health risk assessments/evaluations.
Understanding the relationship between IC-9/10 coding and HCC (hierarchical condition category) coding.
Utilizes advanced, specialized knowledge of medical codes and coding protocol by providing guidance to the Director of Coding to ensure the organization is following Medicare coding protocol for payment of claims.
Demonstrate a commitment to integrating coding compliance standard into coding practices. Identify, correct and report coding problems.
Maintain adequate knowledge of compliant coding procedures related top Medicare Risk Adjustment.
Maintain coding credentials
Complete special projects as assigned by management, which require defining problems, and implementing required changes.
Follows all legal and policy requirements for HIPAA protected data.
Education
High School Diploma or equivalent
Experience
2 to 5 years of prior relevant experience
Minimum of 1 year of experience of ICD-10 coding.
Essential Qualifications
Must hold an active CPC, CPC-A, COC, CCS, CCS-P or CCA
Current coding certification in good standing.
CRC required
ICD-10 Coding Certification will be required
Experience and knowledge of Medicare HCC coding.
Experience with medical record documentation.
Advanced knowledge of medical terminology, abbreviations, anatomy and physiology, major disease processes, and pharmacology
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$18.50 - $35.29
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
