Healthcare Compliance & Audit Specialist
Job in
Scranton, Lackawanna County, Pennsylvania, 18512, USA
Listed on 2026-07-16
Listing for:
NACBA
Full Time
position Listed on 2026-07-16
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Administration, Healthcare Compliance
Job Description & How to Apply Below
CVS Health is seeking a Program Integrity Auditor to review medical and behavioral health provider records, ensuring correct coding and documentation. The role may include recoupment, rebilling, and regulator referrals for suspected FWA.
The Auditor will work with Medicaid-related lines of business, perform audits, and provide education on regulatory requirements, coding, and documentation while maintaining compliance with policies. 40-hour weeks, full-time position.
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