Healthcare Coding & Data Quality Auditor

CVS Health; Orangeburg (SC); Presencial; USD 25.000 - 49.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Descripción de la vacante

CVS Health is seeking a dedicated professional to audit and abstract medical records for accurate ICD coding to support CMS risk adjustment processes. The role emphasizes compliance, clinical documentation review, and timely delivery in office and/or facility settings.

You will apply coding guidelines, differentiate active vs historical conditions, and utilize medical records to support disease etiology and manifestations, while adhering to regulatory guidance and internal policies.

Formación

• Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.
• CPC or CCS-P required.
• Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications).
• Experience with ICD codes required.

Responsabilidades

• Proven ability to support coding judgment and decisions using industry standard evidence and tools.
• Identify clinically active vs. historical conditions
• Adhere to stringent timelines consistent with project deadlines and directives.
• Conducts self- process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body.

Conocimientos

Medical record review

Diagnosis coding

Auditing

Educación

AA/AS or equivalent experience

AAPC/AHIMA CPC/CCS-P training

Herramientas

Microsoft Office

Coding applications

Descripción del empleo

CVS Health is seeking a dedicated professional to audit and abstract medical records for accurate ICD coding to support CMS risk adjustment processes. The role emphasizes compliance, clinical documentation review, and timely delivery in office and/or facility settings.

You will apply coding guidelines, differentiate active vs historical conditions, and utilize medical records to support disease etiology and manifestations, while adhering to regulatory guidance and internal policies.