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Healthcare Compliance & Audit Specialist

NACBA

CVS Health is seeking a Program Integrity Auditor to review provider records for medical, behavioral, transportation and other services. You will determine correct coding and documentation, support audits across Medicaid lines, and recommend follow-up actions including education and recoupment as needed. The role requires 3–5 years of claims review experience, CPT/HCPCS/ICD-10 coding expertise, and an active CPC/CCS/CPMA credential. Strong analytical skills and regulatory knowledge are essential. #J-18808-Ljbffr NACBA

Vacancy posted 1 day ago
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