CVS Health is seeking a Certified Professional Coder to perform medical claim reviews for the Special Investigations Unit. The CPC will ensure coding compliance, review medical records, and identify billing irregularities across providers and plans.
The role requires CPC certification, 3+ years in coding/auditing, and strong knowledge of CPT/HCPCS/ICD-10. A statewide or NC-based focus with thorough documentation and collaboration with Medical Directors is expected.
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