Medical Records Data Quality Auditor – Coding & Compliance

CVS Health; Charleston (WV); On-site; USD 25,000 - 49,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking an auditer/abstractor to review medical records, assign ICD codes, and support CMS risk adjustment with accuracy and integrity. You will work to ensure documentation supports clinical conclusions and complies with state, federal, and internal policies.

The role requires 1 year of related experience and CPC/CCS-P credentials. Strong proficiency in Microsoft Office and coding software is expected. This is a full-time on-site position with competitive benefits.

Qualifications

• 1 year of medical record documentation review or auditing experience.
• Proficiency with ICD coding and coding guidelines; familiarity with CMS risk adjustment.

Responsibilities

• Audit and abstract medical records to identify ICD codes for CMS risk adjustment.
• Ensure codes are accurate, supported by documentation, and compliant with CMS, OIG, and internal policies.
• Adhere to deadlines and perform self-audits for regulatory compliance.

Skills

CPC

CCS-P

ICD coding

Microsoft Office

Education

AA/AS or equivalent

Tools

Coding software

Job description

CVS Health is seeking an auditer/abstractor to review medical records, assign ICD codes, and support CMS risk adjustment with accuracy and integrity. You will work to ensure documentation supports clinical conclusions and complies with state, federal, and internal policies.

The role requires 1 year of related experience and CPC/CCS-P credentials. Strong proficiency in Microsoft Office and coding software is expected. This is a full-time on-site position with competitive benefits.