Medical Records Coding & Data Quality Auditor

CVS Health; Little Rock (AR); On-site; USD 25,000 - 49,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is hiring for a role focused on auditing and abstracting medical records to assign accurate ICD codes for CMS submissions. The position requires coding credentials and experience in reviewing documentation to ensure compliance with regulatory guidelines.

Join CVS Health to contribute to risk adjustment processes while adhering to timelines and maintaining high-quality coding standards. The role offers full-time hours and comprehensive benefits.

Qualifications

• Minimum 1 year experience in medical record documentation review, diagnosis coding, and/or auditing.
• CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required.

Responsibilities

• Audit and abstract medical records to identify and submit ICD codes.
• Validate codes are supported by clinical documentation and compliant with State and Federal regulations.
• Support coding judgment and decisions using industry standard evidence and tools.
• Identify active vs historical conditions and ensure accuracy of etiology and manifestations.
• Meet stringent timelines aligned with project deadlines.
• Conduct self-audits to ensure adherence to internal policies and regulatory guidance.

Skills

Medical record review

Diagnosis coding

Auditing

Compliance knowledge

Attention to detail

Education

AA/AS or equivalent

AAPC/AHIMA training program

Tools

Microsoft Office

Coding applications

Job description

CVS Health is hiring for a role focused on auditing and abstracting medical records to assign accurate ICD codes for CMS submissions. The position requires coding credentials and experience in reviewing documentation to ensure compliance with regulatory guidelines.

Join CVS Health to contribute to risk adjustment processes while adhering to timelines and maintaining high-quality coding standards. The role offers full-time hours and comprehensive benefits.