Healthcare Data Quality & Coding Auditor

Internationalinsuranceprofessionals; North Dakota; On-site; USD 25,000 - 53,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401(k) with company match

Job summary

CVS Health is seeking a skilled Certified Professional Coder to audit and abstract provider and vendor medical records to identify CMS ICD codes for risk adjustment. Ensure codes are accurate, well-documented, and compliant with applicable State and Federal regulations.

The role requires CPC/CCS-P certification, proficiency in ICD coding, and strong knowledge of medical terminology. You will collaborate with providers, adhere to HIPAA, and meet project deadlines in a fast-paced environment.

Qualifications

• CPC or CCS-P certification required or preferred.
• Proficient with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook).
• Experience with ICD coding and medical record documentation review.

Responsibilities

• Audit and abstract provider/vendor medical records to identify CMS ICD codes.
• Validate coding accuracy for risk adjustment and ensure compliance with state and federal regulations.
• Maintain timely turnaround and adhere to project deadlines.

Skills

CPC/CCS-P

MS Office

Provider outreach

ICD coding

Medical record auditing

Education

AA/AS or equivalent experience

CPC/CCS-P training program

Tools

Microsoft Office

Job description

CVS Health is seeking a skilled Certified Professional Coder to audit and abstract provider and vendor medical records to identify CMS ICD codes for risk adjustment. Ensure codes are accurate, well-documented, and compliant with applicable State and Federal regulations.

The role requires CPC/CCS-P certification, proficiency in ICD coding, and strong knowledge of medical terminology. You will collaborate with providers, adhere to HIPAA, and meet project deadlines in a fast-paced environment.