• Special Investigation Unit (SIU)…

    CVS Health (Columbus, OH)
    … will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record ... reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining correct … more
    CVS Health (08/08/25)
    - Related Jobs
  • Manager , Special Investigation

    CVS Health (Columbus, OH)
    …States: **Texas, Ohio, 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 -… more
    CVS Health (08/01/25)
    - Related Jobs
  • 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 ... an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud...with the Special Investigation Unit and other internal areas on matters of mutual… more
    Elevance Health (08/08/25)
    - Related Jobs
  • 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 ... an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud...with the Special Investigation Unit and other internal areas on matters of mutual… more
    Elevance Health (08/08/25)
    - Related Jobs
  • Clinical Fraud Investigator Senior

    Elevance Health (Mason, OH)
    …identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities for fraud and abuse ... as necessary to aid in investigations. + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. + Recommends… more
    Elevance Health (08/08/25)
    - Related Jobs
  • Administrative Assistant

    Kelly Services (Blue Ash, OH)
    …Assistant - Blue Ash, OH** KellyBPO, a managed solution provider and business unit of Kelly Services, Inc., is seeking an Administrative Assistant for a long-term ... + Other duties as assigned Office Site Management: + Perform office manager role for Cincinnati Preclinical Nonclinical Laboratory Research Facility. + Manage all… more
    Kelly Services (08/08/25)
    - Related Jobs
  • Patient Services Coordinator - Bay Meadows Family…

    Bon Secours Mercy Health (Oregon, OH)
    …High school graduate or GED required. Medical Terminology, ICD-9 and CPT coding experience required. Computer/typing skills of at least 40 wpm. Medical secretary, ... and verifies CPT code. Enters data into computer system. 7. Enters appropriate billing charges into computer; retrieves data and runs reports as necessary. 8.… more
    Bon Secours Mercy Health (07/29/25)
    - Related Jobs