Medical Coding & Data Quality Auditor

CVS Health; Clifton (TX); Presencial; USD 25 000 - 49 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health insurance

Paid time off

Retirement savings options

Wellness programs

Resumo da oferta

CVS Health is seeking a Medical Records Auditor/Coder responsible for auditing and abstracting medical records to submit accurate ICD codes for CMS risk adjustment. You will support coding decisions using established evidence and tools in a compliant, timely manner.

The role requires CPC/CCS-P certification and experience with ICD coding, using MS Office and coding applications to manage documentation across provider and facility settings. This is a full-time position with strong benefits.

Qualificações

• 1 year of recent experience in medical record documentation review, diagnosis coding, or auditing.
• CPC or CCS-P certification is required.
• Experience with ICD codes is required.

Responsabilidades

• Audit and abstract medical records to identify and submit ICD codes for CMS risk adjustment.
• Support coding judgments with industry-standard evidence and tools.
• Abstract and assign accurate diagnoses as documented by physicians and providers.
• Identify active vs historical conditions and ensure diagnoses are supported by documentation.
• Adhere to timelines and project deadlines.
• Conduct self-audit to ensure policy and CMS regulatory compliance.

Conhecimentos

Medical record review

Diagnosis coding

Auditing

MS Office

Coding applications

Formação académica

AA/AS or equivalent

AAPC/AHIMA CPC/CCS-P training

Ferramentas

Microsoft Word

Excel

Access

PowerPoint

Outlook

Coding software

Descrição da oferta de emprego

CVS Health is seeking a Medical Records Auditor/Coder responsible for auditing and abstracting medical records to submit accurate ICD codes for CMS risk adjustment. You will support coding decisions using established evidence and tools in a compliant, timely manner.

The role requires CPC/CCS-P certification and experience with ICD coding, using MS Office and coding applications to manage documentation across provider and facility settings. This is a full-time position with strong benefits.