Senior Medical Records Auditor & Coding Specialist
Job in
Springfield, Sangamon County, Illinois, 62777, USA
Listed on 2026-07-13
Listing for:
Hispanic Alliance for Career Enhancement
Full Time
position Listed on 2026-07-13
Job specializations:
-
Healthcare
Healthcare Administration, Healthcare Compliance, Medical Billing and Coding
Job Description & How to Apply Below
CVS Health is seeking an experienced Medical Records Auditor to conduct complex audits, reviews and assessments of medical records coded by internal teams prior to CMS submission, ensuring risk adjustment processes are accurate and compliant with state and federal regulations.
The role requires deep knowledge of ICD coding, HCC risk adjustment, and established medical necessity guidelines, with a strong emphasis on quality, timelines and mentoring across providers, vendors and peers.
#J-18808-LjbffrPosition Requirements
10+ Years
work experience
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