Apply

Ready to go for it?

AI Apply speeds things up—apply directly if you prefer.

FREE ACCESS
5,000–10,000 jobs/day
Scoutfield Logo

See all jobs on Scoutfield

Search thousands of fresh jobs every day.

Discover
  • Fresh listings
  • Fast filters
  • No subscription required
Create a free account and start exploring right away.
CVS Health

SIU Medical & Behavioral Health Coding Analyst

CVS Health

. Conduct comprehensive medical record reviews to ensure CPT/HCPCS/Revenue codes and modifiers are consistent with documentation .

Posted 10/5/2026full-timeConnecticut • United StatesMid-LevelSenior💰 $43,888 - $93,574 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Expertise in medical coding and compliance, with a strong focus on CPT, HCPCS, and Revenue Codes. Proven ability to conduct thorough medical record reviews and articulate findings to various stakeholders while maintaining up-to-date knowledge of coding guidelines and regulations.

Highest-signal resume keywords
AAPC Certified Professional Coder (CPC)Medical Record ReviewCPT CodingHCPCS CodingRevenue Codes

ATS Keywords

Tailor your resume
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Medical CodingDocumentation AuditingCoding ComplianceBilling Error IdentificationInvestigative Research
Soft Skills
CommunicationDetail OrientationAnalytical Thinking
Tools & Technologies
Microsoft ExcelMicrosoft Word
Certifications & Qualifications
AAPC Certified Professional Coder (CPC)
Industry Keywords
CMS GuidelinesCPTHCPCSRevenue CodesCMS 1500UB04

About the role

Key responsibilities & impact
  • Conduct comprehensive medical record reviews to ensure CPT/HCPCS/Revenue codes and modifiers are consistent with documentation
  • Provide detailed written summaries of medical record review findings
  • Articulate findings to investigators, plan leadership, law enforcement, legal counsel, providers, and state regulators
  • Research and accurately apply state or CMS guidelines with minimal support
  • Review and discuss cases with Medical Directors to validate decisions
  • Assist with investigative research related to coding questions and state and federal policies
  • Identify potential billing errors, abuse, and fraud
  • Identify savings opportunities related to cases that may warrant prepayment review
  • Maintain appropriate records, files, and documentation
  • Follow department resources and workflows with minimal assistance to meet metrics
  • Maintain up-to-date coding knowledge, including changes to coding compliance and reimbursement

Requirements

What you’ll need
  • AAPC Certified Professional Coder (CPC) certification
  • Minimum of 3 years of experience in medical and/or behavioral health professional coding
  • At least 1–2 years of current professional coding experience, including medical record review and documentation auditing
  • Knowledge of professional medical coding systems, including CPT, HCPCS, and Revenue Codes
  • Knowledge of CMS 1500 and UB04 data elements
  • Demonstrated ability to interpret and consistently apply established coding policies and guidelines
  • Experience with Microsoft products, including Excel and Word
  • Ability to travel for the role, if needed
  • GED or High School diploma

Benefits

Comp & perks
  • CVS Health bonus, commission or short-term incentive program in addition to base pay
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Other resources supporting physical, emotional, and financial well-being, based on eligibility