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Medicaid Compliance & Audit Specialist

Job in Johnston, Providence County, Rhode Island, 02919, USA
Listing for: NACBA
Full Time position
Listed on 2026-08-21
Job specializations:
  • Healthcare
    Medical Billing and Coding, Medical Records, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 47000 - 122000 USD Yearly USD 47000.00 122000.00 YEAR
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. The auditor will determine correct coding and documentation, and may recommend follow-up actions, including education, recoupment, or refiling of claims.

The role requires 3–5 years in claims data and medical record review, CPT/HCPCS/ICD-10 knowledge, and active CPC/CCS/CPMA certification.

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