CVS Health is seeking a Certified Professional Coder to perform medical claim reviews for the Special Investigations Unit. The role ensures coding compliance across medical, behavioral health, and related services, with findings communicated to investigators, leadership, and regulators.
Responsibilities include reviewing CPT/HCPCS codes, applying CMS guidelines, and maintaining documentation rigor. Travel may be required; a CPC certification and 3+ years of coding experience are required.
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