Medical Coding Data Quality Auditor - Accurate Records

Internationalinsuranceprofessionals; Illinois; On-site; USD 26,000 - 52,000; Full time

Job summary

CVS Health is seeking a full-time Medical Records Auditor in Illinois to audit and abstract provider and vendor medical records, identify ICD codes, and validate risk adjustment codes for CMS compliance. You will ensure accuracy, documentation support, and adherence to HIPAA, with strict timelines and potential eligibility for a bonus program.

Typical duties include coding abstraction, provider communications, and leveraging coding guidelines to meet regulatory requirements, all while

Qualifications

• CPC or CCS-P credential required.
• Experience with ICD codes.
• Experience in medical record documentation review and auditing.

Responsibilities

• Audit and abstraction of provider and/or vendor medical records to identify ICD codes.
• Validate codes used for risk adjustment processes are accurate and compliant.
• Ensure documentation supports etiology and manifestations of disease processes.

Skills

ICD coding experience

Medical record review

Outbound communications

Microsoft Office proficiency

Education

AA/AS or equivalent experience

CPC/CCS-P credential training

Tools

Coding applications

Job description

CVS Health is seeking a full-time Medical Records Auditor in Illinois to audit and abstract provider and vendor medical records, identify ICD codes, and validate risk adjustment codes for CMS compliance. You will ensure accuracy, documentation support, and adherence to HIPAA, with strict timelines and potential eligibility for a bonus program.

Typical duties include coding abstraction, provider communications, and leveraging coding guidelines to meet regulatory requirements, all while