Healthcare Claims & Compliance Auditor
Job in
Biddeford, York County, Maine, 04007, USA
Listed on 2026-08-20
Listing for:
CVS Health
Full Time
position Listed on 2026-08-20
Job specializations:
-
Healthcare
Healthcare Compliance, Medical Billing and Coding, Healthcare Administration
Job Description & How to Apply Below
CVS Health is hiring a Program Integrity Auditor to review medical and behavioral health provider records, ensuring accurate coding and compliant documentation. The role includes identifying potential fraud, waste, or abuse and coordinating with regulators as needed.
Ideal candidates have 3–5 years of claims data review, CPT/HCPCS/ICD-10 proficiency, and an active CPC/CCS/CPMA license. The position supports Medicaid-related audits across multiple lines of business and requires a Monday–Friday
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