Coding Data Quality Auditor

October 25

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Logo of CVS Health

CVS Health

Retail β€’ Pharmacy Benefits Management β€’ Health Insurance β€’ Health Care β€’ Pharmacy

10,000+

Description

β€’ Responsible for auditing medical records to identify and submit ICD-10 codes β€’ Must ensure compliance with State and Federal regulations β€’ Proficient in abstraction and assignment of accurate medical codes β€’ Knowledge of coding guidelines and regulations required β€’ Ability to support coding judgment and decisions β€’ Adhere to project deadlines and directives β€’ Act in ethical manner under HIPAA's Privacy and Security rules β€’ Performs other related duties as required

Requirements

β€’ CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required β€’ Minimum of 3 years recent experience in medical record documentation review, diagnosis coding, and/or auditing β€’ Minimum of 3 years of experience with ICD codes required β€’ Computer proficiency with Microsoft Office products and industry standard coding applications β€’ Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment preferred β€’ CRC (Certified Risk Adjustment Coder) preferred β€’ Excellent analytical and problem-solving skills β€’ Demonstrated communication, organizational, and interpersonal skills

Benefits

β€’ Full range of medical, dental, and vision benefits β€’ 401(k) retirement savings plan β€’ Employee Stock Purchase Plan β€’ Fully-paid term life insurance plan β€’ Short-term and long term disability benefits β€’ Well-being programs β€’ Education assistance β€’ Free development courses β€’ CVS store discount β€’ Paid Time Off (PTO) or vacation pay β€’ Paid holidays throughout the year

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