Healthcare Coding Quality Auditor

Internationalinsuranceprofessionals; Alabama; On-site; USD 25,000 - 54,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Health Information Auditor to audit and abstract provider and vendor medical records for CMS diagnosis codes. Ensure accuracy, documentation, and regulatory compliance across risk adjustment processes.

The role requires CPC/CCS-P credentials, ICD coding experience, and proficiency with Microsoft Office. AAA/AS or equivalent and AAPC/AHIMA CPC/CCS-P training are preferred; full-time, on-site in the US, with a comprehensive benefits package.

Qualifications

• CPC or CCS-P credential required.
• Proficient in Microsoft Office (Word, Excel, Outlook).
• Experience with ICD coding and medical record auditing.

Responsibilities

• Audit and abstract provider/vendor medical records for CMS diagnosis codes.
• Ensure codes are accurate, documented, and compliant with regulations.
• Meet project deadlines and adhere to HIPAA privacy rules.
• Communicate with providers for record retrieval and follow-up.
• Perform self-audit to ensure policy and regulatory compliance.

Skills

CPC/CCS-P credential

MS Office proficiency

ICD coding experience

Provider outreach

Education

AA/AS or equivalent

AAPC/AHIMA CPC/CCS-P training

Tools

Microsoft Office

Job description

CVS Health is seeking a Health Information Auditor to audit and abstract provider and vendor medical records for CMS diagnosis codes. Ensure accuracy, documentation, and regulatory compliance across risk adjustment processes.

The role requires CPC/CCS-P credentials, ICD coding experience, and proficiency with Microsoft Office. AAA/AS or equivalent and AAPC/AHIMA CPC/CCS-P training are preferred; full-time, on-site in the US, with a comprehensive benefits package.