Senior Behavioral Health Coder — Audits & Compliance
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CVS Health is seeking a skilled Medical Coding Auditor focused on Behavioral Health to ensure CPT/HCPCS accuracy and proper documentation alignment. You will audit records, resolve complex coding issues, and collaborate with Medical Directors and investigators across plan leadership. The role requires 3+ years of coding/audit experience, CPC certification, and strong knowledge of CPT/HCPCS/ICD-10, with travel as needed. This is a full-time opportunity based in Hartford, CT. #J-18808-Ljbffr Istss
- CVS Health is seeking a detail-oriented Medical Coding Auditor to conduct... ...comprehensive reviews of behavioral health records and ensure CPT/HCPCS accuracy. You will audit complex cases, articulate... ...leadership, and mentor junior coders in a fast-paced environment at...Senior
- CVS Health is seeking a Senior Certified Professional Coder (CPC) to perform medical claim reviews for... ..., ensuring compliance with state, federal, and... ...policies across medical, behavioral health, and related areas... ...behavioral health coding/auditing, and travel ability....Senior
- CVS Health in Hartford, CT is seeking a Senior Certified Professional Coder (CPC) to conduct medical claim reviews for the SIU, ensuring... ...documentation across medical, behavioral health, and related services.... ...behavioral health coding or audits, knowledge of CPT/HCPCS/ICD-10...Senior
- CVS Health in Hartford, CT is seeking a skilled Medical Coder/Auditor to join our team. You will conduct comprehensive medical record audits to ensure CPT/HCPCS or modifiers billed align with documentation... ...certification, 3+ years in behavioral health coding or auditing,...Senior
- CVS Health is seeking a qualified Behavioral Health Medical Coder to conduct comprehensive medical record audits ensuring CPT/HCPCS and ICD-10 alignment with documentation. You will produce detailed written findings and articulate them to investigators, plan leadership...Senior
$46.99k - $112.2k
...Senior Certified Professional Coder (Cpc) We're building a world of health around every individual shaping a more... ...Unit (SIU) to ensure compliance with coding practices... ...review for medical, behavioral, transportation and... ...comprehensive medical record audit to ensure the CPT/...SeniorHourly payFull timeTemporary workWork at office$46.99k - $112.2k
We're building a world of health around every individual - shaping... .... Position Summary The Senior Analyst, Behavioral Health Network is... ...contracting activities, and ensure compliance with organizational and regulatory... ...requirements. Support audits, regulatory requests, and...SeniorHourly payFull timeContract workTemporary workWork at officeLocal area$26.39 - $63.13 per hour
The Health Operations Senior Analyst supports the accuracy and effectiveness of healthcare claims editing and auditing processes. This role reviews edit and audit groupings to help ensure the... ...policies. Certified Professional Coder (CPC) certification Preferred Qualifications...SeniorHourly payLive inWork at officeLocal area- CVS Health is seeking a Senior Analyst, Behavioral Health Network to support ABA and related autism services provider networks. You will liaise with network management, credentialing, and internal partners to ensure network adequacy, provider satisfaction, and operational...Senior
$175k - $200k
...FinanceContactJordan ****@*****.*** Senior Manager, Tax Operations &... ...Americas, overseeing tax operations, compliance, and reporting across the U.S., Bermuda,... ...planning, M&A, investment-related matters, audits, and other strategic initiatives as...SeniorWork at office$124k - $335k
...and guidance to clients on tax planning, compliance, and strategy. These individuals help businesses... ...(e.g. refer to specific PwC tax and audit guidance), the Firm's code of conduct,... ...offers to solve our clients' needs. As a Senior Manager you are expected to lead large projects...SeniorFull timeH1b- ...seeking a plan administrator to manage a block of defined contribution plans nationwide. You will oversee compliance testing, employer contributions, distributions, and audits, coordinating with TPAs, custodians, and client teams. The role rewards clear communication, strong...Senior
- ...700.00Target Openings1What Is the Opportunity?Within the Claim Behavioral Science function, apply behavioral science frameworks, the scientific... ...research in a business setting.What Is in It for You?Health Insurance: Employees and their eligible family members - including...SeniorFull timeLocal area
$46.99k - $112.2k
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At... ...completing various monthly account reconciliations, supporting annual audits and other ad hoc work and projects. Candidates Should Be an...SeniorHourly payFull timeTemporary workWork at officeLocal area- Accenture Health Operations is seeking a Health Operations Senior Analyst to enhance accuracy in claims editing and auditing. The role analyzes complex edits, researches policies, and collaborates with customers and internal teams to resolve issues. Strong CPC background...Senior
- CVS Health in Hartford, CT is seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across the organization. You will lead strategic initiatives that ensure accurate, timely audit results and strengthen regulatory relationships...
- Eliassen Group is seeking a Sr IT Governance Analyst to provide counsel on IT controls, risk management, and audits. The role partners with the AI Center of Excellence to align internal AI development with governance standards and supports process improvement across the...SeniorRemote jobContract work
$94k - $156.6k
...Benefit Services Internal Audit team as a Senior Internal Auditor and help shape... ...our mission of improving health and vitality. If you are... ...governance, risk management, compliance, and operational effectiveness... ...dental, and well-being and behavioral health programs. We also...SeniorFull timeLocal areaWork from home- ...build a career, KPMG provides audit, tax and advisory services... ....KPMG is currently seeking a Senior Associate, Middleware to join... ...monitor platform availability, health, performance, and capacityAssist... ...regarding the firm's compliance with federal, state, and local...SeniorH1bLocal area
- ...to work and build a career, KPMG provides audit, tax and advisory services for... ...join our team.KPMG is currently seeking a Senior Associate, Data Strategy Enablement and Innovation... ...further information regarding the firm's compliance with federal, state, and local recruitment...SeniorH1bLocal area
- Overview The Senior Registered Behavior Technician (Sr. RBT) plays a pivotal role in implementing advanced behavior intervention strategies while... ...ongoing training and professional development. Maintain compliance with BACB ethical standards. Complete detailed and accurate...SeniorLocal area
$20 - $28 per hour
...Hartford, New London, Stamford, Waterbury and more! The Behavioral Technician will provide clinical skills instruction and behavior... ...procedures. I understand that I may not release or disclose protected health or company information without proper authorization. I...Daily paidWork from home- ...Job Description Job Description Kaleidoscope ABA is looking for Behavior Technicians to join our growing team. We want YOU to be part of helping us make a difference! This is a center based role, Monday-Friday, which means NO weekends and NO late nights. In other...Full timeLocal areaMonday to Friday
$121.1k - $201.9k
...strategic and innovative Senior Accounting Manager to... ..., timeliness, and compliance with applicable accounting... ..., disclosures, audits, and business initiatives... ...supporting your whole health. Starting on day one of... ...dental, and well-being and behavioral health programs. We...SeniorFull timeLocal areaWork from home- ...professional to manage Medicare reporting to ensure OBRA and PPS compliance. This role supports high-quality, cost-effective services in a... ...and communication skills to work within a team that delivers comprehensive care to seniors. #J-18808-Ljbffr Hartford HealthCareSenior
$180.2k - $355.1k
...Summary Our Human Capital practice is adding an Actuarial Senior Manager to our Insights, Innovation & Operate Offering.... ...role offers the opportunity to engage with executives across the health care landscape, ranging from health plays to large health systems...SeniorLocal areaVisa sponsorship$18 - $32 per hour
...Explore opportunities with American Health Network (AHN) , part of the Optum family... ...Connecting. Growing together. The Senior Biller supports American Health Network... ...Skills Strong analytical, mathematical, auditing, reconciliation, problem‑solving, and organizational...SeniorHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaRemote workShift work$46.99k - $112.2k
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience... ...We are seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our organization....SeniorHourly payFull timeTemporary workLocal area- ...Kaleidoscope ABA Therapy, where your passion for making a difference takes center stage! We are on the lookout for dynamic and compassionate Behavior Therapists to join our dedicated team and be part of a transformative journey. Are you ready to unlock the extraordinary potential...Weekly payFull timePart time
- ...Description Job Description ABA Provider Services offers our Behavior Technician Salary and Paid Vacation plus Medical Benefits... ...Teachers Aide, Paraprofessional, Autism Services, Childcare, Mental health technician, Educational paraprofessional, Current School...Full timePart timeLocal areaFlexible hours
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