• Premera Blue Cross (Mountlake Terrace, WA)
    …+ Bachelor's degree or four (4) years' relevant work experience. (Required) + Current Certified Professional Coder (CPC) certification. (Required) + Four (4) ... subject matter expertise to a variety of internal committees as assigned. + Completes special projects and other duties as assigned. **_What you'll bring:_**… more
    DirectEmployers Association (11/21/25)
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  • Senior Certified Professional…

    CVS Health (Olympia, WA)
    …more compassionate. And we do it all with heart, each and every day. The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the ... Special Investigations Unit (SIU) to ensure compliance with coding...and reimbursement. **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) +… more
    CVS Health (11/25/25)
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  • Certified Professional Coder…

    CVS Health (Olympia, WA)
    …And we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure ... and potential to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical… more
    CVS Health (11/12/25)
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  • Senior Investigator, Special Investigations…

    CVS Health (Olympia, WA)
    …to travel approximately 10% of time for business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Knowledge of ... are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to a specific self-funded plan… more
    CVS Health (11/19/25)
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  • Special Investigation Unit Lead Review…

    CVS Health (Olympia, WA)
    …to provide testimony if needed. + Experience with Excel. **Preferred Qualifications** + Certified Professional Coder + Knowledge of CVS/Aetna's policies and ... be work from home anywhere in the United States. **Position Summary** The Special Investigations Unit (SIU) is looking for an analytically driven individual who is… more
    CVS Health (11/19/25)
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  • Investigator, Coding Special Investigative…

    Molina Healthcare (Vancouver, WA)
    …Association** Licensed registered nurse (RN), Licensed practical nurse (LPN) and/or Certified Coder (CPC, CCS, and/or CPMA) **Preferred Education** Bachelor's ... Certified Medical CPC, CPMA, CPCO or similar specialist preferred + Certified Fraud Examiner and/or AHFI professional designations preferred To all current… more
    Molina Healthcare (11/20/25)
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  • Coding Specialist 4

    University of Washington (Seattle, WA)
    … Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder ... date; and understands charge lag impact for facility and professional fee services + Performs special projects...Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder … more
    University of Washington (10/21/25)
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  • Payment Integrity Clinician

    Highmark Health (Olympia, WA)
    …Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability ... SUMMARY** This job requires the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code… more
    Highmark Health (11/14/25)
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