Healthcare Audit & Compliance Specialist
Job in
Wheeling, Ohio County, West Virginia, 26003, USA
Listed on 2026-07-17
Listing for:
Leading Age Virginia
Full Time
position Listed on 2026-07-17
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Administration
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 correct coding and documentation. The role involves identifying abnormal billing patterns and guiding follow-up actions, including education, recoupment, or regulator referrals.
Ideal candidates will have 3–5 years in claims data and medical record review, CPT/HCPCS/ICD-10 coding proficiency, and an active CPC/CCS/CPMA credential.
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