CVS Health
10,000+ employees
Founded 1963
⚕️ Healthcare Insurance
🛒 Retail
🧘 Wellness
Healthcare Insurance • Retail • Wellness
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
Certified Professional Coder, Special Investigations Unit
Job not on LinkedIn
🔥 6 minutes ago
🥔 Idaho, Montana, +1 more states – Remote
💵 $43.9k - $93.6k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🏥 Medical Billing and Coding
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CVS Health
10,000+ employees
Founded 1963
⚕️ Healthcare Insurance
🛒 Retail
🧘 Wellness
Healthcare Insurance • Retail • Wellness
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
📋 Description
• Perform medical claim reviews for the Special Investigations Unit (SIU) • Ensure compliance with coding practices through comprehensive record reviews • Conduct comprehensive medical record audits • Provide detailed written summaries of medical record review findings • Assist with investigative research related to coding questions and policies
🎯 Requirements
• AAPC Certified Professional Coder Certification (CPC) • 3+ years of experience in medical coding or documentation auditing • Knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements • Experience with researching coding and policies • Experience with Microsoft products, specifically Excel and Word
🏖️ Benefits
• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package
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