Healthcare Data Quality Auditor - Coding & Compliance

CVS Health; Austin (TX); On-site; USD 25,000 - 49,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a Medical Records Auditor to perform audit and abstraction of medical records, ensuring accurate ICD code submission for CMS risk adjustment. The role requires CPC/CCS-P certification, 1+ year of related experience, and proficiency in Microsoft Office.

Strong knowledge of ICD codes and coding guidelines is essential. The position offers a full-time schedule with 40 hours per week, competitive benefits, and opportunities to work with healthcare professionals to improve

Qualifications

• 1 year of related experience in medical records documentation review, diagnosis coding, or auditing.
• Knowledge of ICD coding and related regulations.
• Experience with documentation, coding, and auditing tools.

Responsibilities

• Audit and abstract medical records to identify and submit ICD codes.
• Ensure codes are supported by clinical documentation and CMS regulations.
• Support coding judgment with industry-standard evidence and tools.
• Identify clinically active vs historical conditions.
• Verify accuracy and appropriateness of diagnoses and code assignments.
• Adhere to project timelines and conduct self-audits for compliance.

Skills

Medical coding

Auditing

ICD coding

CMS guidance knowledge

Education

CCS-P or CPC certification

AA/AS or equivalent experience

Tools

Microsoft Office

Job description

CVS Health is seeking a Medical Records Auditor to perform audit and abstraction of medical records, ensuring accurate ICD code submission for CMS risk adjustment. The role requires CPC/CCS-P certification, 1+ year of related experience, and proficiency in Microsoft Office.

Strong knowledge of ICD codes and coding guidelines is essential. The position offers a full-time schedule with 40 hours per week, competitive benefits, and opportunities to work with healthcare professionals to improve