Senior Coordinator, Revenue Cycle - Medical Billing

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. 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.

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

• Adept at problem solving and decision making skills
• Certified Billing and Coding Specialist (CBCS) preferred.
• Experience working within Medical Billing Platforms

• 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.