Healthcare Audit & Compliance Specialist
NACBA
CVS Health is seeking a Program Integrity Auditor to review medical, behavioral, transportation and other provider records, ensuring accurate coding and proper documentation in line with state and federal requirements. You will identify aberrant billing patterns and support regulator reporting while educating providers on regulatory rules. The role requires 3–5 years of claims data and medical records review, and an active CPC, CCS, or CPMA license, plus an Associate's degree. #J-18808-Ljbffr NACBA
$49k - $76.23k
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..., transportation, and other healthcare providers. The Auditor must... ...Activities include reviews/audits of provider records to ensure... ...documentation rules. Maintain compliance with company policies and... ...Coder), CCS (Certified Coding Specialist), or CPMA (Certified...Hourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- ..., hand off estimate details to project managers and controls specialists, and track actual vs. estimated performance for continuous improvement... ..., promotion, compensation, benefits, and termination. In compliance with federal and state laws, we ensure that all employment...Full timeFor contractorsFor subcontractor
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$27.86 per hour
...is seeking a Revenue Tax Auditor Supervisor to lead the Field Audit Income Tax Division, overseeing audits for various tax types and... ...auditors, plan workloads, and guide audit procedures to ensure compliance and optimal revenue collection. The role carries probationary/Detail...Hourly pay$49k
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...the areas of risk adjustment, compliance, process improvement and... ...regarding government and regulatory audits, accreditation standards,... ...coding/billing HEDIS and/or healthcare related management**... ...Coder (CPC)* Certified Coding Specialist (CCS)* Registered Health Information...Work at officeWork from home
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