Healthcare Coding & Data Quality Auditor

Internationalinsuranceprofessionals; Oklahoma; On-site; USD 25,000 - 52,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a dedicated Medical Records Coder Auditor to review and abstract provider and vendor records for CMS risk adjustment codes. You will verify that codes are accurate, documented, and compliant with state and federal regulations while upholding HIPAA protections.

The role requires CPC/CCS-P credentials or equivalent, familiarity with ICD codes, and strong Excel/Office skills. Expect a full-time on-site schedule with a comprehensive benefits package.

Qualifications

• Proficient in medical terminology and coding practices.
• Experience with ICD coding and documentation review.
• Ability to communicate with providers and teams.

Responsibilities

• Audit and abstract provider/vendor medical records for CMS ICD codes.
• Validate accuracy and documentation for risk adjustment codes.
• Ensure compliance with HIPAA, CMS, and internal policies.
• Identify active vs historical conditions and supporting documentation.
• Meet project timelines and deadlines.
• Perform self-audits to ensure policy compliance.
• Communicate findings to providers and audit teams.
• Maintain accuracy in coding for medical necessity.
• Assist with related duties as needed.

Skills

Medical coding

HIPAA compliance

MS Office

Education

AA/AS or equivalent

AAPC/AHIMA training CPC/CCS-P

Tools

Microsoft Office

Job description

CVS Health is seeking a dedicated Medical Records Coder Auditor to review and abstract provider and vendor records for CMS risk adjustment codes. You will verify that codes are accurate, documented, and compliant with state and federal regulations while upholding HIPAA protections.

The role requires CPC/CCS-P credentials or equivalent, familiarity with ICD codes, and strong Excel/Office skills. Expect a full-time on-site schedule with a comprehensive benefits package.