2 jobs found in Oregon

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). You will audit medical records for accuracy in CPT/HCPCS coding, summarize findings, and clearly communicate outcomes to investigators and regulators. Strong attention to detail and knowledge of CPT/HCPCS, ICD-10, CMS 1500, and UB04 are required. The role requires 3+ years of medical coding or auditing, CPC certification, and proficiency with Excel/Word. #J-18808-Ljbffr

Covenant Health is seeking a Revenue Integrity Auditor to conduct audits related to compliance in billing, coding, and documentation. The ideal candidate will have 3-5 years of healthcare experience, strong knowledge of Medicare/Medicaid guidelines, and excellent analytical and problem-solving skills. Key responsibilities include auditing internal processes, communicating findings to management, and providing consultancy services. A clinical license in Tennessee or equivalent experience is preferred. This full-time position offers a focused day shift to enhance compliance and efficiency within the organization. #J-18808-Ljbffr