• Senior Special Investigations

    CVS Health (Phoenix, AZ)
    …strategic initiatives, along with a team of medical coders/nurses supporting Aetna's Special Investigations Unit. Key Responsibilities: + Leadership: Leads a ... team of coding /nursing professionals who conduct reviews of medical records and...coder/nurse reviews, ensuring compliance with ICD-10, CPT and HCPCS coding guidelines. Assist with department build and implementation of… more
    CVS Health (05/24/25)
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  • Medical Specialist Principal - Life Company…

    USAA (Phoenix, AZ)
    …claims, and provide expert advice. Conducts review of complex healthcare fraud investigations and providing claims support + Medical Coding Proficiency: At ... our members. Be part of what truly makes us special and impactful. **The Opportunity** USAA Life Company's Claim...assistance to all investigators and claims with regards to coding issues and investigations with deep understanding… more
    USAA (05/22/25)
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