Aug 17, 2026

Certified Medical Coder & Audit Specialist

Job Description

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. You will audit medical records for CPT/HCPCS alignment, prepare detailed findings, and communicate results to investigators and regulators. The role requires 3+ years of coding or auditing experience and proficiency with CPT, ICD-10, CMS 1500, and UB04 guidelines. Ideal candidates will have CPC certification, strong analytical skills, and experience with Excel and #J-18808-Ljbffr