CPC Medical Coding Auditor - Compliance & Investigations
Job in
Appleton, Outagamie County, Wisconsin, 54914, USA
Listed on 2026-07-27
Listing for:
Hispanic Alliance for Career Enhancement
Full Time
position Listed on 2026-07-27
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Administration, Healthcare Compliance
Job Description & How to Apply Below
CVS Health is hiring a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU), ensuring coding accuracy and compliance across medical, behavioral health and related records.
The CPC will audit CPT/HCPCS, ICD-10 and UB04 data, articulate findings to investigators and leadership, and help identify billing errors, potential fraud and opportunities for savings. This full-time role offers strong benefits and a focus on quality and integrity.
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