Certified Professional Coder | Audit & Compliance
Job in
Woonsocket, Providence County, Rhode Island, 02895, 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
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 ensures coding accuracy and compliance by auditing CPT/HCPCS and modifiers against medical records.
You will discuss findings with investigators and regulators, identify billing errors and potential fraud, and maintain up-to-date knowledge of coding guidelines across CMS and payer requirements.
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