Description

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.

Required Education

• High school diploma or equivalent

Required Qualifications

• 5+ years work experience, ideally in a medical billing or call center environment
• Experience with Excel

Preferred Qualifications

• 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

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 03/24/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.