Healthcare Compliance & Audit Specialist
Job in
Eagle, Ada County, Idaho, 83616, USA
Listed on 2026-07-16
Listing for:
NACBA
Full Time
position Listed on 2026-07-16
Job specializations:
-
Healthcare
Healthcare Administration, Medical Billing and Coding, Healthcare Compliance
Job Description & How to Apply Below
CVS Health is seeking a Program Integrity Auditor to review provider records for medical, behavioral, transportation and other services. You will determine correct coding and documentation, support audits across Medicaid lines, and recommend follow-up actions including education and recoupment as needed.
The role requires 3–5 years of claims review experience, CPT/HCPCS/ICD-10 coding expertise, and an active CPC/CCS/CPMA credential. Strong analytical skills and regulatory knowledge are essential.
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