- Stanford Health Care (Palo Alto, CA)
- …responsible for overseeing the organization's compliance reporting and non-patient services reimbursement activities. This role ensures the timely and accurate ... The role also ensures the accuracy of invoicing for non-patient related services provided to external customers. The Director of Reimbursement plays a critical… more
- Regal Medical Group (Los Angeles, CA)
- …Auditors/Coders to join our team! Position Summary: The HCC Risk Adjustment/ Auditor is responsible for maintaining and monitoring the Quality Assurance auditing ... plan for outpatient clinical data. This position works to improve the quality...the medical record and HCC database. The HCC Risk Adjustment/ Auditor reports on the accuracy and consistency of the… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis… more
- Humana (Sacramento, CA)
- …the accuracy, completeness, specificity and appropriateness of procedure codes based on services rendered + Review medical documentation for clinical indicators ... and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided,...our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make… more
- Sharp HealthCare (San Diego, CA)
- **Facility:** System Services **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified ... Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other;...remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct ... coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the… more
- Cedars-Sinai (Los Angeles, CA)
- …Under the general direction of the Manger or Associate Director, the Revenue Auditor Service Line performs audits of medical records against submitted ... bill and performs special audit requests for the department. The Revenue Auditor Service Line performs daily reconciliation of the submitted professional… more
- Cedars-Sinai (Los Angeles, CA)
- …America's Best Hospitals. **What will I be doing in this role?** The Coding Auditor works under the general direction of the Coding Supervisor. A Coding Auditor ... and external partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM), and Compliance Revenue… more
- Trinity Health (Fresno, CA)
- …Nurse (RN) with the state of California is required. 3. Four (4) years clinical experience in cardiovascular service environment is required. 4. Fluency in the ... Shift **Description:** Reporting to the Nurse Manager*, Cath Lab, the Nurse Auditor performs thorough chart review of Electronic Medical Records (EMR) documentation… more
- UCLA Health (Los Angeles, CA)
- …next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the ... auditor . You will review claims (paid, pending, and denied)...denied) for accuracy, appropriate application of benefits, authorization for services , contract interpretation, Division of Financial Responsibility (DOFR), and… more
