ICD Coding & Data Quality Auditor

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

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a detail-oriented Medical Records Auditor to review provider and vendor records and assign ICD codes for CMS submissions. You will validate codes against documentation, ensure medical necessity, and adhere to strict timelines within a healthcare environment.

Required CPC/CCS-P certification, ICD coding experience, and proficiency with MS Office. At least 1 year in medical records review is preferred. Competitive benefits and growth opportunities included.

Qualifications

• CPC or CCS-P certification required.
• Experience with ICD coding and medical records review.
• Proficient with Microsoft Office applications.
• Ability to make outbound calls for record retrieval.
• 1 year of related experience in medical record documentation review.

Responsibilities

• Audit and abstract provider and vendor records for CMS codes.
• Validate coding accuracy and documentation compliance.
• Ensure codes reflect medical necessity per regulations.
• Identify active vs. historical conditions.
• Adhere to timelines and project deadlines.
• Perform self-audits to ensure policy compliance.
• Maintain HIPAA privacy and security compliance.
• Use medical terminology and anatomy knowledge in audits.

Skills

CPC/CCS-P certification

ICD coding knowledge

Medical terminology

MS Office proficiency

Outgoing communication

Education

AA/AS or equivalent

CPC/CCS-P training completion

Tools

Microsoft Office suite

Coding applications

Job description

CVS Health is seeking a detail-oriented Medical Records Auditor to review provider and vendor records and assign ICD codes for CMS submissions. You will validate codes against documentation, ensure medical necessity, and adhere to strict timelines within a healthcare environment.

Required CPC/CCS-P certification, ICD coding experience, and proficiency with MS Office. At least 1 year in medical records review is preferred. Competitive benefits and growth opportunities included.