CVS Health

Bringing our heart to every moment of your health.

Data Quality Auditor

AuditorAuditorFull TimeRemoteTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Idaho + 2 moreAll locations: Idaho, Missouri, Vermont

Posted

16 days ago

Salary

$18 - $38 / hour

Associate Degree1 yr expEnglish

Job Description

• Responsible for performing audit and abstraction of medical records to identify and submit ICD codes • Ensure appropriate, accurate codes that are supported by clinical documentation in accordance with State and Federal regulations and internal policies • Support coding judgment and decisions using industry standard evidence and tools • Proficient in abstraction and assignment of accurate medical codes for diagnoses • Utilize medical records to document support for etiology and manifestations of disease processes • Adhere to stringent timelines consistent with project deadlines and directives • Conduct self-process audits to ensure compliance with internal policies and procedures as well as regulatory guidance

Job Requirements

  • CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required
  • Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook)
  • Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding, and/or auditing
  • 3 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing preferred
  • Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories preferred
  • CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred
  • Excellent analytical and problem solving skills
  • Superior communication, organizational, and interpersonal skills

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

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