Minute Clinic Senior Coordinator, Revenue Cycle - Medical Billing
About The Position
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Primary Job Duties & Responsibilities Ensures accurate coding and documentation of medical services, procedures, and diagnoses to support proper reimbursement and revenue generation. Assigns appropriate medical codes to diagnoses, procedures, and services based on detailed medical documentation. Reviews medical records, operative reports, and other relevant documents to accurately capture all billable services and ensure compliance with coding guidelines and regulations. Conducts coding audits and reviews to assess coding accuracy, compliance, and documentation completeness. Collaborates with revenue cycle management teams to optimize the coding process and ensure proper documentation for billing and reimbursement. Provides training and education to Revenue Cycle staff, healthcare providers, and other stakeholders to improve coding knowledge, accuracy, and documentation practices. Identifies areas for improvement and provides feedback to team members and key healthcare providers to enhance coding practices and ensure proper revenue capture. Utilizes leading-edge software, systems, and tools to support team activities, maintain data integrity, and generate accurate reports. Provides guidance, support, and mentorship, including junior team members by assisting with training initiatives, knowledge sharing, and performance evaluations to develop and enhance the skills development and competencies of the team.
Requirements
- High school diploma or equivalent
- 5+ years work experience, ideally in a medical billing or call center environment
- Experience with Excel
Nice To Haves
- Adept at problem solving and decision making skills
- Certified Billing and Coding Specialist (CBCS) preferred.
- Experience working within Medical Billing Platform
- Experience working with insurance overpayments and refunds
Responsibilities
- Ensures accurate coding and documentation of medical services, procedures, and diagnoses to support proper reimbursement and revenue generation.
- Assigns appropriate medical codes to diagnoses, procedures, and services based on detailed medical documentation.
- Reviews medical records, operative reports, and other relevant documents to accurately capture all billable services and ensure compliance with coding guidelines and regulations.
- Conducts coding audits and reviews to assess coding accuracy, compliance, and documentation completeness.
- Collaborates with revenue cycle management teams to optimize the coding process and ensure proper documentation for billing and reimbursement.
- Provides training and education to Revenue Cycle staff, healthcare providers, and other stakeholders to improve coding knowledge, accuracy, and documentation practices.
- Identifies areas for improvement and provides feedback to team members and key healthcare providers to enhance coding practices and ensure proper revenue capture.
- Utilizes leading-edge software, systems, and tools to support team activities, maintain data integrity, and generate accurate reports.
- Provides guidance, support, and mentorship, including junior team members by assisting with training initiatives, knowledge sharing, and performance evaluations to develop and enhance the skills development and competencies of the team.
Benefits
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
