Aug 04, 2026

Medical Coding Auditor - Compliance & Fraud Prevention

Job Description

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 3+ years of experience and CPC certification, with strong knowledge of CPT/HCPCS/ICD-10 and CMS guidelines. The candidate will conduct audits, provide written findings, and communicate results to investigators and regulators. Proficiency in Excel/Word and attention to detail are essential for success in this full-time #J-18808-Ljbffr