Certified Medical Coding Auditor & Compliance Investigator
Job in
Huron, Beadle County, South Dakota, 57399, USA
Listed on 2026-07-31
Listing for:
Hispanic Alliance for Career Enhancement
Full Time
position Listed on 2026-07-31
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Compliance, Healthcare Administration
Job Description & How to Apply Below
CVS Health is seeking a Certified Professional Coder (CPC) to join the Special Investigations Unit. You will review medical records for coding accuracy, ensuring CPT/HCPCS, ICD-10, and CMS 1500/UB04 compliance, and prepare detailed audit findings for stakeholders.
Responsibilities include discussing cases with Medical Directors and regulators, researching guidelines, identifying billing errors and potential savings, and maintaining thorough documentation to meet payor requirements.
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