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CPC Medical Claims Auditor - Compliance & Investigations
Job in
Sanford, York County, Maine, 04073, USA
Listed on 2026-07-26
Listing for:
Hispanic Alliance for Career Enhancement
Full Time
position Listed on 2026-07-26
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Compliance, Healthcare Administration, Medical Records
Job Description & How to Apply Below
CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The role involves auditing medical records to ensure accurate CPT/HCPCS coding, preparing written summaries, and communicating findings to investigators and regulators.
Strong knowledge of CPT, HCPCS, ICD-10 and CMS guidelines is required. The position requires 3+ years in medical coding or documentation auditing, CPC certification, and proficiency with Excel and
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