CVS Pharmacy

Job DescriptionReporting to the Manager of Medical Coding, Auditing, and Compliance, the Certified Medical Coder is responsible for supporting the oversight and execution of the professional medical coding and auditing functions for CVS MinuteClinic. Incumbent will perform medical coding and auditing of patient records, manage internal coding reviews, and support the Revenue Cycle Operations team with error queue analyses and appeals. Incumbent will also support clinical documentation improvement initiatives.Pay RangeThe typical pay range for this role is:Minimum: 19.50Maximum: 38.99Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications-3+ years' experience as a Certified Medical Coder- Active Certified Professional Coder certification -2+ years of Electronic Medical Record (EMR) experience-3 +...

Job DescriptionWe have a great opportunity at our Eden Prairie Branch to launch a career in a pharmacy operation setting as a Pharmacy Technician - Medical Billing Specialist for Coram's Home Infusion Services. In this role, you will join a team that handles billing for our new National Council of Prescription Drug Programs (NCPDP) division. As a Pharmacy Technician - Medical Billing Specialist, you will be responsible for overseeing the accounts receivable process to ensure adherence to standards and performance to goals. The Billing team will ensure claims have been processed and reviewed in a timely fashion to guarantee payment for services rendered has been received. Qualified candidates must have excellent written and verbal customer service skills and advanced computer skills in order to interact with key stakeholders and patients.Challenge your newly acquired healthcare training or current billing knowledge and customer services skills to make a difference in a patient's...

Job DescriptionAs a Biller, you play an integral role in delivering cost effective solutions for our patients by providing timely and accurate billing of claims to insurance companies for healthcare reimbursement. In this role you will be responsible for ensuring claims are accurately priced, placed on appropriate hold status, resolve payer rejected claims, identify, and prepare adjustments or write offs while maintaining quality and productivity requirements. To be successful in this role you will utilize Excel, Outlook, and Word and your attention to detail and customer service mindset. We offer instructor led training programs to set you up for success, in addition to a comprehensive benefits package that begins the first of the month after your start date and includes medical, dental and vision insurance as well as supplemental benefits, retail discounts and paid time off. Additionally, we offer a flexible work schedule, starting your 8-hour day between 6:00am and 9:30am ending...

Job DescriptionThe Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.Activities include:- Conduct a comprehensive medical record review to ensure billing is consistent with medical record.- Provide detailed written summary of medical record review findings.- Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc.- Review and discuss cases with Medical Directors to validate decisions.- Assist with investigative research related to coding questions, state and federal...

Job DescriptionThis position can be work from home anywhere in the United States. The Certified Professional Coder will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for behavioral health related providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure the State, Federal and Company requirements are met and recognize any concerning billing patterns or trends.Activities include:- Conduct a comprehensive review of medical records to ensure billing is consistent with medical record.- Provide detailed written summary of medical record review findings.- Must be able to articulate findings to Investigators, SIU Leadership, Law Enforcement, Legal Counsel, Providers, etc.- Review and discuss cases with Medical Directors to validate decisions when necessary.- Assist with investigative research related to coding questions,...