• 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 (11/11/25)
    - Save Job - Related Jobs - Block Source
  • Billing & Certified Coding Specialist II-…

    Beth Israel Lahey Health (Burlington, MA)
    …Education: High School diploma or equivalent Licensure, Certification & Registration: CP ( Certified Professional Coder through AAPC), CPC-A ( Certified ... Professional Coder - Apprentice through AAPC), or CCS-P ( Certified Coding Specialist Physician Based through AHIMA) Experience: 2 - 3 years of experience in… more
    Beth Israel Lahey Health (10/30/25)
    - Save Job - Related Jobs - Block Source
  • Investigator 1 - FWA Prepayment Review

    Point32Health (Canton, MA)
    …Qualifications - what you need to perform the job Certification and Licensure + Certified Professional Coder ("CPC"); Certified Fraud Examiner ("CFE") ... Summary** The Investigator I is an essential team member of the Special Investigation Unit ("SIU") responsible for leading complex provider investigations related to… more
    Point32Health (10/31/25)
    - Save Job - Related Jobs - Block Source
  • Payment Integrity Clinician

    Highmark Health (Boston, MA)
    …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)
    - Save Job - Related Jobs - Block Source
  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Woburn, MA)
    …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 (11/04/25)
    - Save Job - Related Jobs - Block Source