Jul 19, 2026

Healthcare Compliance & Coding Auditor

Job Description

CVS Health is seeking a Program Integrity Auditor to review medical and behavioral health records to ensure accurate coding and documentation. The role involves audits across Medicaid lines, identifying FWA, and coordinating regulator reporting with a focus on compliance and education for providers. Qualifications include 3–5 years in claims data review and medical records, CPT/HCPCS/ICD-10 proficiency, and an active CPC/CCS/CPMA license. 40-hour workweek and comprehensive benefits offered. #J-18808-Ljbffr