Healthcare Audit & Compliance Specialist
Job in
Huron, Beadle County, South Dakota, 57399, 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 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,
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