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Healthcare Audit & Compliance Specialist

Job in Wheeling, Ohio County, West Virginia, 26003, USA
Listing for: NACBA
Full Time position
Listed on 2026-07-16
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 46988 - 122400 USD Yearly USD 46988.00 122400.00 YEAR
Job Description & How to Apply Below

CVS Health is seeking a Program Integrity Auditor to review medical, behavioral health, transportation, and other provider records for accurate coding and documentation. You will identify fraud risks, educate providers, and coordinate audit documentation for stakeholders.

Ideal candidates have 3–5 years in claims data and medical record review, CPT/HCPCS/ICD-10 coding knowledge, and hold CPC/CCS/CPMA licenses. Full-time role with standard business hours and competitive benefits.

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