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Medical Coding Auditor - Compliance & Fraud Prevention

Job in Duluth, St. Louis County, Minnesota, 55806, USA
Listing for: Hispanic Alliance for Career Enhancement
Full Time position
Listed on 2026-07-31
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 43888 - 93574 USD Yearly USD 43888.00 93574.00 YEAR
Job Description & How to Apply Below

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation. The role requires 3+ years of experience and CPC certification, with strong knowledge of CPT/HCPCS/ICD-10 and CMS guidelines.

The candidate will conduct audits, provide written findings, and communicate results to investigators and regulators. Proficiency in Excel/Word and attention to detail are essential for success in this full-time

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