CVS Health is seeking a Certified Professional Coder to perform medical record reviews for the SIU, ensuring coding accuracy and compliant documentation. You will communicate findings to investigators and leadership while applying CMS guidelines and identifying potential fraud or overpayments.
Required CPC certification, 3+ years of professional coding with record review, and proficiency in CPT/HCPCS, Revenue Codes, CMS 1500/UB04. Travel may be needed; strong Excel/Word skills are expected.
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