Aug 01, 2026

Certified Professional Coder: Audit & Compliance Specialist

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. The CPC must articulate findings to investigators, regulators, and leadership, and support efforts to identify billing errors, abuse, and fraud while maintaining documentation and up-to-date coding knowledge. #J-18808-Ljbffr