Medicaid Compliance & Audit Specialist
Job in
West Warwick, Kent County, Rhode Island, 02893, USA
Listed on 2026-08-21
Listing for:
NACBA
Full Time
position Listed on 2026-08-21
Job specializations:
-
Healthcare
Medical Billing and Coding, Medical Records, Healthcare Administration
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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