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Regulatory Compliance Specialist

NACBA

Sioux Falls, SD

CVS Health is seeking a Program Integrity Auditor to review records for medical, behavioral, transportation and other healthcare providers, ensuring accurate coding and proper documentation. The Auditor will assess coding usage, modifiers and place of service, and may refer cases for recoupment or regulator action. This role supports Medicaid lines of business and detects fraud, waste or abuse. The ideal candidate has 3–5 years of claims data review experience, holds CPC/CCS/CPMA certification, #J-18808-Ljbffr

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Vacancy posted 3 days ago
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