• Certified Professional Coder

    CVS Health (Boston, MA)
    …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 (07/04/25)
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  • Coding Auditor Educator

    Highmark Health (Boston, MA)
    …Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient ... of new staff, performing audits and research related to special projects and providing coverage for coding manager(s). (10%)...Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital… more
    Highmark Health (05/09/25)
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  • Medical Policy Program Manager

    Commonwealth Care Alliance (Boston, MA)
    …**Desired Licensing:** + Active clinical license, eg, nursing, physical therapy, LICSW + Certified Professional Coder (CPC) + Medical Billing and Coding ... while aligning policy and practice with needs of the populations. + Perform special projects as assigned by management + Demonstrate knowledge and understanding of… more
    Commonwealth Care Alliance (05/31/25)
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  • Manager, Medical Policy

    Commonwealth Care Alliance (Boston, MA)
    …**Desired Licensing:** + Active clinical license, eg nursing, physical therapy, LICSW + Certified Professional Coder (CPC) **Required Experience:** + Minimum ... to support the research needs of the Medical Policy staff + Perform special projects as assigned by management + Demonstrate knowledge and understanding of the… more
    Commonwealth Care Alliance (05/31/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Smithfield, RI)
    …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 (07/02/25)
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