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CVS Health is seeking a Certified Professional Coder (CPC) to support the Special Investigations Unit. The role focuses on comprehensive medical record reviews to ensure proper CPT/HCPCS/Revenue code coding and documentation, with detailed findings communicated to investigators and regulators. You will review cases with Medical Directors, apply state and CMS guidelines, and identify potential billing errors or fraud while maintaining meticulous records and meeting performance metrics. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) for its Special Investigations Unit. The role involves reviewing medical records to ensure CPT/HCPCS coding aligns with documentation, and to identify potential billing errors or fraud. You will present findings to investigators and plan leadership, while ensuring compliance with state and federal guidelines. Required CPC certification with 3+ years of coding and record review experience. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to join the Special Investigations Unit. The role performs medical claim reviews to ensure correct CPT/HCPCS coding and proper documentation across medical, behavioral health, and related services. You will generate detailed findings, communicate with investigators and regulators, apply CMS guidelines, and help identify billing errors and fraud while maintaining records and meeting performance metrics. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) for the Special Investigations Unit to perform medical claim reviews ensuring coding accuracy and documentation compliance. The role requires 3+ years of coding experience, CPT/HCPCS knowledge, and the ability to communicate findings to investigators and regulators. Travel may be required. Anticipated weekly hours are 40 with a full-time schedule and eligibility for comprehensive benefits and bonuses. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and proper documentation in medical records. The role requires knowledge of CPT/HCPCS, CMS guidelines, and ability to communicate findings to investigators and leadership. Travel may be required. Ideal candidates hold CPC certification and 3+ years of coding experience, including record review and auditing, with proficiency in Excel/Word and a commitment to accuracy #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to conduct medical claim reviews for the Special Investigations Unit. The role involves ensuring CPT/HCPCS/Revenue code accuracy, preparing detailed summaries, and communicating findings to investigators and leadership. Travel may be required. Applicants should hold an AAPC CPC certification with 3+ years of medical/behavioral health coding experience, including record review/d documentation auditing, and familiarity with CMS guidelines. #J-18808-Ljbffr