CPC SIU: Medical & Behavioral Health Claims Auditor
preferra insuranceBismarck, ND
CPC SIU: Medical & Behavioral Health Claims Auditor
L6
preferra insuranceBismarck, NDyesterday
Occupations
Health Information Technologists and Medical RegistrarsMedical Records SpecialistsClaims Adjusters, Examiners, and InvestigatorsIndustries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsDirect Health and Medical Insurance CarriersAll Other Outpatient Care CentersCVS Health is seeking a Certified Professional Coder to perform medical claim reviews for the Special Investigations Unit. The role ensures coding compliance with CPT/HCPCS/Revenue codes and reviews documentation in medical records. Responsibilities include detailed write-ups, communicating findings to investigators and leadership, applying CMS guidelines, and identifying potential billing errors and fraud indicators. Travel may be required.
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Level
LeadL6
Location
Bismarck, ND
Occupation
Health Information Technologists and Medical Registrars
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
yesterday
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