• Certified Professional Coder

    CVS Health (Jefferson City, MO)
    …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)
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  • Senior Investigator, Special Investigations…

    CVS Health (Jefferson City, MO)
    …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 (Jefferson City, MO)
    …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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  • Payment Integrity Clinician

    Highmark Health (Jefferson City, MO)
    …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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  • Supervisor Medical Coding

    CenterWell (Jefferson City, MO)
    …years of billing and coding experience in a health care organization + CPC ( Certified Professional Coder ) Certification required through AAPC or CSS ... but travel will be required; <25% travel + No special scheduling; hours are clinic hours M-F 8-5 Central...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
    CenterWell (10/31/25)
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