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Regulatory Compliance Specialist

NACBA

Indiana, PA

CVS Health is seeking a Program Integrity Auditor to review medical, behavioral and other provider records for correct coding and documentation. The role includes audits across Medicaid lines of business, identifying improper coding and potential fraud, and guiding follow-up actions. Ideal candidates hold CPC/CCS/CPMA, with 3–5 years in claims and records review, and an Associate's degree or equivalent. Workweek is Monday–Friday, 8am–5pm Arizona Time, with a comprehensive benefits package. #J-18808-Ljbffr

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Vacancy posted 4 hours ago
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