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Program Integrity Auditor

Company

Hispanic Alliance for Career Enhancement

Location

louisiana, United-States

Type

Full-time

We're building a world of health around every individual—shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger—helping to simplify health care one person, one family and one community at a time. Position Summary The Program Integrity Auditor is responsible for the review of records for medical, behavioral, transportation, and other healthcare providers. The Auditor must have the ability to determine correct coding and appropriate documentation during the review of medical records. Activities include reviews and audits of provider records to ensure appropriate coding standards and documentation standards are being met. The Auditor will also recommend follow‐up action including, but not limited to, provider education, recoupment of funds...

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