• Certified Professional Coder

    CVS Health (Phoenix, AZ)
    …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 ... for meetings and potential to testify **Required Qualifications** - AAPC Coding certification - Certified Professional Coder (CPC). - 3+ years of experience… more
    CVS Health (10/22/25)
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  • Investigator, Coding Special Investigative…

    Molina Healthcare (Phoenix, AZ)
    …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 (10/22/25)
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  • Investigator

    Highmark Health (Phoenix, AZ)
    …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder ... for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations… more
    Highmark Health (09/10/25)
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  • RN Medical Claim Review Nurse Remote

    Molina Healthcare (Phoenix, AZ)
    … Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), ... and support to clinical peers. * Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols. * Collaborates… more
    Molina Healthcare (10/19/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Phoenix, AZ)
    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 (09/06/25)
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