• Special Investigation Unit (SIU) Coding

    CVS Health (Columbus, OH)
    …comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in ... heart, each and every day. The Certified Professional Coder ( CPC ) Manager will oversee a team of...minimum of 2 years of managing a staff. + Coding Certification ( CPC , CPMA, COC). + A… more
    CVS Health (08/08/25)
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  • Coding Auditor Educator

    Highmark Health (Columbus, OH)
    …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS… more
    Highmark Health (08/08/25)
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  • Coding Analyst Senior

    Elevance Health (Mason, OH)
    …implements changes. + Assists physicians and providers with questions and problems related to coding , documentation and billing . + Serves as a resource to ... ** Coding Analyst Senior** **Virtual:** This role enables associates...would provide an equivalent background. + Certified Medical Code ( CPC or CCS-P) required. **Preferred Skills, Capabilities and Experiences**… more
    Elevance Health (08/02/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    …Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for ... Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder ( CPC ) or Inpatient Coding Credential such as CCS or… more
    Elevance Health (08/09/25)
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  • Compliance Auditor - Physician - Enterprise Risk

    Bon Secours Mercy Health (Cincinnati, OH)
    …**Essential Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development ... to four years of in-depth experience within healthcare operations, healthcare auditing, or coding / billing either from a consulting perspective or as an employee/… more
    Bon Secours Mercy Health (08/08/25)
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  • Manager , Special Investigation

    CVS Health (Columbus, OH)
    …New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of Aetna's policies and ... procedures **Education** + Bachelor's degree preferred/specialized training/relevant professional qualification **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,300.00 - $159,120.00 This pay… more
    CVS Health (08/01/25)
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  • Clinical Provider Auditor II

    Elevance Health (Mason, OH)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). **Preferred Skills, Capabilities, and… more
    Elevance Health (08/08/25)
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  • Clinical Provider Auditor II

    Elevance Health (Mason, OH)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... of education and experience, which would provide an equivalent background. + Requires coding certification ( CPC , CCS, CPMA). For candidates working in person or… more
    Elevance Health (08/08/25)
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