ICD Coding Data Quality Auditor

Internationalinsuranceprofessionals; North Carolina; On-site; USD 26,000 - 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 seeks a skilled coder/auditor to review provider and vendor medical records for CMS ICD coding and risk adjustment accuracy. This role requires HIPAA-compliant handling of patient data and timely completion of audits within policy guidelines.

Ideal candidates hold CPC/CCS-P, proficiency in ICD coding, and experience with medical record documentation review, with strong communication skills for provider interactions.

Qualifications

• CPC or CCS-P certification required for eligibility.
• Proficiency with Microsoft Office and industry coding applications.
• Experience with ICD codes and medical record audits.

Responsibilities

• Audit and abstract provider/vendor medical records for CMS ICD coding.
• Ensure codes support risk adjustment and comply with regulations.
• Maintain timelines and perform internal audits per policies.
• Communicate with providers to retrieve records.
• Adhere to HIPAA privacy and security requirements.

Skills

CPC/CCS-P

Microsoft Office

Provider communication

ICD codes

Education

AA/AS or equivalent

CPC/CCS-P training program

Job description

CVS Health seeks a skilled coder/auditor to review provider and vendor medical records for CMS ICD coding and risk adjustment accuracy. This role requires HIPAA-compliant handling of patient data and timely completion of audits within policy guidelines.

Ideal candidates hold CPC/CCS-P, proficiency in ICD coding, and experience with medical record documentation review, with strong communication skills for provider interactions.