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Healthcare Audit & Compliance Investigator
Job in
Johnston, Providence County, Rhode Island, 02919, USA
Listed on 2026-07-17
Listing for:
NACBA
Full Time
position Listed on 2026-07-17
Job specializations:
-
Science
Healthcare Compliance
Job Description & How to Apply Below
CVS Health is seeking a Program Integrity Auditor to review medical and claims records, ensuring compliant coding and documentation. The role focuses on audits across Medicaid lines of business, identifying improper coding and potential fraud, waste, or abuse, and guiding follow-up actions with regulators.
Responsibilities include coordinating documentation, educating providers on regulatory requirements, and supporting regulator deliverables.
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