ICD Coding & Medical Records Quality Auditor

Internationalinsuranceprofessionals; Idaho; On-site; USD 38,000 - 81,000; Full time

Benefits offered by this job

Bonus eligibility

Benefits package

Job summary

CVS Health is seeking a Medical Records Auditor to audit and abstract provider records for CMS ICD codes, ensuring documentation supports risk adjustment and compliance with HIPAA and regulations.

The role requires ICD-10 coding experience, CPC/CCS-P credentials, and strong communication for record retrieval from providers. 40-hour weeks in a full-time setting with competitive benefits.

Qualifications

• AA/AS degree or equivalent work history in healthcare coding.
• Completion of CPC/CCS-P credential training or equivalent.
• Experience with ICD-10 coding and medical records review.

Responsibilities

• Audit and abstract provider records to identify CMS ICD codes.
• Verify risk-adjustment codes and documentation for accuracy.
• Ensure compliance with HIPAA, CMS rules, and internal policies.
• Identify active vs historical conditions using clinical docs.
• Meet strict project deadlines and maintain quality.
• Coordinate with providers to obtain records as needed.

Skills

Medical coding

HIPAA compliance

Outbound communication

MS Office

Education

AA/AS or equivalent experience

CPC/CCS-P credential training

Tools

Medical coding software

ICD-10 coding knowledge

Job description

CVS Health is seeking a Medical Records Auditor to audit and abstract provider records for CMS ICD codes, ensuring documentation supports risk adjustment and compliance with HIPAA and regulations.

The role requires ICD-10 coding experience, CPC/CCS-P credentials, and strong communication for record retrieval from providers. 40-hour weeks in a full-time setting with competitive benefits.