• Certified Professional Coder

    CVS Health (Trenton, NJ)
    …to make health care more personal, convenient and affordable. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews ... and potential to testify **Required Qualifications** - AAPC Coding certification - Certified Professional Coder (CPC) - 3+ years of experience in medical… more
    CVS Health (01/04/25)
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  • Special Investigation Unit Manager Clinical…

    CVS Health (Trenton, NJ)
    …in researching information and identifying information resources AAPC Coding certification - Certified Professional Coder (CPC) Strong leadership and team ... make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead...Bachelor, Associates Degree or work equivalent Certification as a Certified Professional Coder (CPC) **Pay… more
    CVS Health (12/25/24)
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  • Senior Investigator, Special Investigative…

    CVS Health (Trenton, NJ)
    …travel approximately 10% of time for business purposes. ​ **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Dental Investigative ... We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In this role, you will manage complex… more
    CVS Health (01/18/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (New York, NY)
    Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, ... and support to clinical peers. + Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB… more
    Molina Healthcare (01/18/25)
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  • Surgical Technologist - Cert

    Northwell Health (Staten Island, NY)
    …TECHNICIAN. + Current certification in Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information ... supervision of RN, positions patient for the surgical procedure utilizing knowledge of special needs based on age of patient. 4. Under direct supervision of RN,… more
    Northwell Health (01/08/25)
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  • Billing and Clinical Compliance Manager

    Weill Cornell Medical College (New York, NY)
    …complex analysis from a variety of sources. **Licenses and Certifications** + Certified Professional Coder Certificate (CPC) **Working Conditions/Physical ... and education activity for clinical services in accordance with the Professional Compliance Plan. Ensures accurate and complete documentation, real-time monitoring,… more
    Weill Cornell Medical College (01/16/25)
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  • Medical Records Reviewer

    VNS Health (Manhattan, NY)
    …Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coder , Allied Health professional or other ... + Generous tuition reimbursement for qualifying degrees + Opportunities for professional growth and career advancement + Internal mobility, generous tuition… more
    VNS Health (01/22/25)
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  • Nurse and CPC - Clinical Fraud Investigator II…

    Elevance Health (Woodbridge, NJ)
    …Requirements:** + Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 ... necessary to aid in investigations. + Collaborates with the Special Investigation Unit and other internal areas on matters...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
    Elevance Health (12/31/24)
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