Healthcare Program Integrity Auditor
NACBA
CVS Health is seeking a Program Integrity Auditor to review medical and behavioral records, ensuring accurate coding and compliant documentation. The role involves audits across Medicaid lines of business, education for providers, and reporting potential fraud, waste, or abuse to regulators. The auditor will work to identify coding inconsistencies, coordinate audit reports, and support prospective and retrospective FWA avoidance initiatives. A CPC/CCS/CPMA license is required. #J-18808-Ljbffr
Vacancy posted 1 day ago
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