Medical Coding Data Quality Auditor

CVS Health; Fulton (MS); On-site; USD 25,000 - 49,000; Full time

Job summary

CVS Health in the United States is seeking a Medical Record Auditor/Abstractor to ensure CMS risk-adjustment ICD coding accuracy, supported by clinical documentation. The role requires attention to coding guidelines, timely audits, and collaboration with providers.

The ideal candidate has CPC or CCS-P credentials, ICD coding experience, and proficiency with Microsoft Office. This is a full-time on-site position in Mississippi with competitive pay and benefits.

Qualifications

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

Responsibilities

• Audit and abstract medical records to identify and submit ICD codes for CMS risk adjustment.
• Support coding judgments using standard evidence and tools.
• Ensure codes are accurate and supported by documentation; comply with regulations.
• Identify active vs historical conditions and ensure medical necessity.
• Maintain timelines and deadlines for project directives.
• Conduct self-audits to ensure compliance with internal policies and CMS guidance.

Skills

CPC

CCS-P

ICD coding

MS Office

Education

AA/AS or equivalent

AAPC/AHIMA CPC or CCS-P training

Tools

Microsoft Office

Job description

CVS Health in the United States is seeking a Medical Record Auditor/Abstractor to ensure CMS risk-adjustment ICD coding accuracy, supported by clinical documentation. The role requires attention to coding guidelines, timely audits, and collaboration with providers.

The ideal candidate has CPC or CCS-P credentials, ICD coding experience, and proficiency with Microsoft Office. This is a full-time on-site position in Mississippi with competitive pay and benefits.