Jul 27, 2026

Certified Medical Coder & Compliance Auditor

Job Description

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit, ensuring coding accuracy and compliance with CPT/HCPCS, ICD-10, CMS 1500 and UB04 standards. You will audit records, document findings and discuss cases with investigators, regulators and providers while staying current with coding guidelines and identifying potential billing errors, abuse or fraud and opportunities for savings. #J-18808-Ljbffr