SIU Medical & Behavioral Health Coder & Audit Expert

Preferra Insurance; Atlanta (GA); Hybrid; USD 44,000 - 94,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Paid time off

Retirement plan

Wellness program

Job summary

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation. You will review CPT/HCPCS/Revenue codes, generate written findings, and communicate with investigators, regulators, and providers.

Located in Atlanta, full-time with a strong emphasis on accuracy and collaboration. Ideal candidates have 3+ years of coding experience, CPC certification, knowledge of CMS/state guidelines, and proficiency in

Qualifications

• AAPC CPC certification and proficiency in CPT/HCPCS/Revenue codes.
• 3+ years of medical and/or behavioral health coding with record review experience.
• Experience interpreting and applying coding policies and guidelines.

Responsibilities

• Conduct comprehensive medical record reviews to verify codes match documentation.
• Provide detailed written summary of findings and articulate results to stakeholders.
• Research CMS/state guidelines and discuss cases with Medical Directors.

Skills

CPC certification

Medical coding

Medical record review

Documentation auditing

Communication skills

Education

AAPC CPC Certification

GED or High School diploma

Tools

Excel

Word

Job description

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring coding accuracy and compliant documentation. You will review CPT/HCPCS/Revenue codes, generate written findings, and communicate with investigators, regulators, and providers.

Located in Atlanta, full-time with a strong emphasis on accuracy and collaboration. Ideal candidates have 3+ years of coding experience, CPC certification, knowledge of CMS/state guidelines, and proficiency in