CPC SIU Medical & Behavioral Health Coding Auditor

Voices for Voices; Bismarck (ND); Hybrid; USD 44,000 - 94,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Retirement savings

Job summary

CVS Health is seeking a Certified Professional Coder (CPC) to review medical claims within the Special Investigations Unit. You will ensure coding consistency, review documentation, and identify irregular billing patterns.

The role requires CPC certification, at least 3 years of medical/behavioral health coding experience, and ability to travel if needed. Full-time position with comprehensive benefits and merit-based incentive opportunities.

Qualifications

• CPC certification required.
• 3+ years in medical/behavioral health coding with 1–2 years current coding experience.
• Experience with medical record review and documentation auditing.

Responsibilities

• Perform medical claim reviews for SIU to ensure coding compliance.
• Determine correct coding and documentation during record reviews.
• Ensure CMS 1500 and UB04 data elements are correctly applied.

Skills

CPC certification

Medical coding experience

CPT/HCPCS knowledge

Communication skills

Travel flexibility

Education

AAPC CPC Certification

GED or High School diploma

Tools

Microsoft Word

Microsoft Excel

Job description

CVS Health is seeking a Certified Professional Coder (CPC) to review medical claims within the Special Investigations Unit. You will ensure coding consistency, review documentation, and identify irregular billing patterns.

The role requires CPC certification, at least 3 years of medical/behavioral health coding experience, and ability to travel if needed. Full-time position with comprehensive benefits and merit-based incentive opportunities.