Preferra Insurance

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role ensures coding accuracy and proper documentation across medical, behavioral health, and transportation providers. The CPC will interpret CPT/HCPCS codes, apply CMS/state guidelines, and clearly communicate findings to investigators, leadership, and regulators. Travel may be required; attention to detail is essential. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. The CPC ensures coding accuracy, validates documentation, and applies CMS guidelines during record reviews. The role requires 3+ years in medical/behavioral health coding with 1–2 years in current practice, proficiency with CPT/HCPCS/Revenue Codes, CMS 1500/UB04 data elements, and strong communication for investigations and reporting. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role ensures coding accuracy, proper documentation, and compliance with state and federal requirements. You will review CPT/HCPCS data, discuss findings with Medical Directors, and identify potential fraud indicators. The position requires AAPC CPC certification and 3+ years of coding experience, including record review. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU) to ensure coding accuracy, documentation integrity and compliance across medical and behavioral health records. Required CPC certification, 3+ years of professional coding experience, familiarity with CPT/HCPCS/Revenue codes, CMS 1500/UB04 data elements, and proficiency with Excel/Word. Travel may be required. Full-time with comprehensive benefits. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) for its Special Investigations Unit (SIU) to review medical records and ensure coding compliance across CPT, HCPCS and Revenue Codes. You will generate detailed findings, discuss cases with Medical Directors, and ensure adherence to state, federal, and company guidelines. Travel may be required. The role requires 3+ years of professional coding experience, CPC certification, and proficiency with CMS 1500/UB04 data elements, with strong #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. This full-time role involves coding reviews, detailed reporting, and collaboration with investigators and regulators to ensure compliant coding practices. The position requires CPC certification, 3+ years of coding experience (including record review), and travel as needed. A comprehensive benefits package is provided, with anticipated 40-hour weeks and a base pay #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder to perform medical claim reviews for the Special Investigations Unit. The role ensures coding compliance across medical, behavioral health, and related services, with findings communicated to investigators, leadership, and regulators. Responsibilities include reviewing CPT/HCPCS codes, applying CMS guidelines, and maintaining documentation rigor. Travel may be required; a CPC certification and 3+ years of coding experience are required. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder to perform medical claim reviews for the SIU, ensuring coding accuracy, documentation alignment, and regulatory compliance. The role involves detailed reports, collaboration with investigators and leadership, and staying current with coding guidelines. The position expects 3+ years in medical coding with record review experience, CPT/HCPCS knowledge, and the ability to travel as needed. #J-18808-Ljbffr

CVS Health in Madison, Wisconsin is hiring a Certified Professional Coder (CPC) to conduct medical record reviews for the Special Investigations Unit, ensuring CPT/HCPCS alignment with documentation and compliance with state, federal, and company requirements. The role requires 3+ years of coding experience, CPC certification, knowledge of CPT/HCPCS, CMS 1500/UB04, and strong communication to articulate findings to investigators and leadership; travel may be required. #J-18808-Ljbffr

CVS Health is seeking a detail-oriented Medical Coding Auditor to conduct comprehensive reviews of behavioral health records and ensure CPT/HCPCS accuracy. You will audit complex cases, articulate findings to investigators and leadership, and mentor junior coders in a fast-paced environment at our Hartford area location. Required CPC certification and 3+ years of behavioral health coding or audits; strong knowledge of CPT/HCPCS/ICD-10, CMS 1500/UB04, and MS Office. Travel may be required. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder to perform medical record reviews for the SIU, ensuring coding accuracy and compliant documentation. You will communicate findings to investigators and leadership while applying CMS guidelines and identifying potential fraud or overpayments. Required CPC certification, 3+ years of professional coding with record review, and proficiency in CPT/HCPCS, Revenue Codes, CMS 1500/UB04. Travel may be needed; strong Excel/Word skills are expected. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. The role ensures coding accuracy, proper documentation, and compliance with state, federal, and company guidelines. Travel may be required for collaboration with investigators and regulators. The ideal candidate holds an AAPC CPC certification with 3+ years of medical/behavioral health coding and auditing experience, plus proficiency in CPT, HCPCS, andRevenue Codes. #J-18808-Ljbffr

CVS Health is hiring a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU. The role requires detailed record reviews, accurate coding, and clear written summaries for internal and external stakeholders. Travel may be required; strong knowledge of CPT, HCPCS, CMS guidelines is essential. Candidates should have CPC certification, 3+ years of coding/record review experience, and proficiency with Excel/Word. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation. The role requires CPT/HCPCS knowledge, CMS 1500/UB04 familiarity, and the ability to communicate findings to investigators and regulators. 40-hour, full-time position with potential travel. Competitive benefits, eligibility for CVS Health incentive programs, and career growth opportunities in a supportive health-focused environment. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU) to ensure coding accuracy, documentation integrity and compliance across medical and behavioral health records. Required CPC certification, 3+ years of professional coding experience, familiarity with CPT/HCPCS/Revenue codes, CMS 1500/UB04 data elements, and proficiency with Excel/Word. Travel may be required. Full-time with comprehensive benefits. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder to join our Special Investigations Unit (SIU). The CPC will perform medical claim reviews across medical, behavioral health, transportation and related services to ensure coding accuracy. You will produce detailed summaries, discuss findings with investigators and leaders, apply CMS guidelines, and help detect errors, abuse and potential fraud while maintaining thorough 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 and ensure coding accuracy in CPT/HCPCS/Revenue codes. The role requires auditing documentation and communicating findings to investigators and leadership, with travel as needed. Ideal candidates hold an AAPC CPC certification with at least 3 years of coding and record-review experience, including CMS guidelines, and proficiency in Excel/Word. #J-18808-Ljbffr

CVS Health in Richmond, VA seeks a Certified Professional Coder (CPC) to perform medical record reviews for the Special Investigations Unit, ensuring coding accuracy across CPT/HCPCS, Revenue Codes, and documentation. The role requires 3+ years of medical coding and auditing experience, CPC certification, strong attention to detail, ability to communicate findings, and willingness to travel. This full-time role offers a comprehensive benefits package and a competitive pay range. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation. You will review CPT/HCPCS/Revenue codes, generate written findings, and communicate with investigators, regulators, and providers. Located in Atlanta, full-time with a strong emphasis on accuracy and collaboration. Ideal candidates have 3+ years of coding experience, CPC certification, knowledge of CMS/state guidelines, and proficiency in #J-18808-Ljbffr