CVS Health

Bringing our heart to every moment of your health.

Data Quality Auditor Analyst

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

Location

United States

Posted

16 days ago

Salary

$21 - $36 / hour

Professional Certificate3 yrs expEnglish

Job Description

• Perform second level quality inter-rater review audits of medical records coded by internal team and external vendor if applicable • Ensure ICD codes submitted to CMS are appropriate, accurate, and supported by clinical documentation • Act as mentor to provide education to internal staff based on audit findings • Conduct process audits to ensure compliance with internal policies and procedures • Work independently and collaboratively with other teams

Job Requirements

  • Minimum of 3 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing
  • Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P)
  • CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required
  • CRC (Certified Risk Adjustment Coder) required within the first six months
  • 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 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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