SIU Investigator

Summary

CVS Health is seeking a Certified Professional Coder (CPC) for the Special Investigations Unit to perform medical claim reviews and ensure coding accuracy and compliant documentation. The role requires CPC certification, 3+ years of medical/behavioral health coding with 1-2 years of current coding experience, and proficiency with CPT/HCPCS, CMS 1500 and UB04 forms.Travel may be required. You'll articulate findings to investigators and leaders, identify potential fraud or billing errors, and#J-18808-Ljbffr

Job Description

CVS Health is seeking a Certified Professional Coder (CPC) for the Special Investigations Unit to perform medical claim reviews and ensure coding accuracy and compliant documentation. The role requires CPC certification, 3+ years of medical/behavioral health coding with 1-2 years of current coding experience, and proficiency with CPT/HCPCS, CMS 1500 and UB04 forms.Travel may be required. You'll articulate findings to investigators and leaders, identify potential fraud or billing errors, and#J-18808-Ljbffr