Certified Medical Coder & Audit Specialist
Job in
Springfield, Hampden County, Massachusetts, 01119, 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 perform medical claim reviews for the Special Investigations Unit. You will audit medical records for CPT/HCPCS alignment, prepare detailed findings, and communicate results to investigators and regulators.
The role requires 3+ years of coding or auditing experience and proficiency with CPT, ICD-10, CMS 1500, and UB04 guidelines. Ideal candidates will have CPC certification, strong analytical skills, and experience with Excel and
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