Medical Coding & Data Quality Auditor

CVS Health; Guin (AL); On-site; USD 25,000 - 49,000; Full time

Benefits offered by this job

Health, dental, vision benefits

Bonuses and incentive programs

Paid time off

Job summary

CVS Health is seeking a detail-oriented professional to audit and abstract medical records, ensuring accurate ICD coding for CMS risk adjustment. You will support coding decisions using established guidelines and collaborate with healthcare teams to maintain compliance.

The role requires CPC/CCS-P certification, 1 year of relevant experience, and proficiency in Microsoft Office and coding software. Excellent accuracy and timeliness are essential.

Qualifications

• Minimum 1 year of related experience in medical records review, diagnosis coding, or auditing.
• CPC or CCS-P certification required.
• Proficient with Microsoft Office and coding applications.
• Experience with ICD codes required.

Responsibilities

• Audit and abstract medical records to identify correct ICD codes for CMS risk adjustment.
• Support coding judgment using industry-standard evidence and tools.
• Assign accurate diagnoses from physician documentation in clinical settings.
• Ensure compliance with state/federal regulations and internal policies.

Skills

Medical records auditing

Diagnosis coding

Auditing expertise

Regulatory awareness

Education

AA/AS or equivalent

AAPC/AHIMA CPC/CCS-P training

Tools

Microsoft Office

coding software

Job description

CVS Health is seeking a detail-oriented professional to audit and abstract medical records, ensuring accurate ICD coding for CMS risk adjustment. You will support coding decisions using established guidelines and collaborate with healthcare teams to maintain compliance.

The role requires CPC/CCS-P certification, 1 year of relevant experience, and proficiency in Microsoft Office and coding software. Excellent accuracy and timeliness are essential.