- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure ... Follows established guidelines/procedures. **Where you Come In** The Medical Coding Auditor reviews medical claims submitted against medical records provided,… more
- Elevance Health (Los Angeles, CA)
- …documentation purposes (eg, letter writing) on lower level auditors. + Identifies new claim types by identifying potential claims outside of the concept where ... **DRG Coding Auditor Principal** **_Virtual: _** _ _ This role...Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology,… more
- US Pacific Fleet (San Diego, CA)
- …You will be required to obtain and maintain a current ISO 9000:2008 Internal Auditor certification . + You will be required to wear personal protective equipment ... when selecting individuals under this specific hiring authority. However, if you claim veteran's preference, you will be required to submit supporting documentation… more
- Humana (Sacramento, CA)
- …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns… more
- Sharp HealthCare (San Diego, CA)
- …provides certificate; Other; Certified Health Care Compliance (CHC) - Compliance Certification Board **Hours** **:** **Shift Start Time:** Variable **Shift End ... *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance… more
- Humana (Sacramento, CA)
- …caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to determine appropriate procedural ... terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the… more
- Cedars-Sinai (Los Angeles, CA)
- …Best Hospitals. **What you be doing in this role:** The Physician Compliance Auditor is responsible for reviewing and auditing claims , medical records, and ... use of Teams or other remote meeting platforms. The Physician Compliance Auditor identifies issues and/or risks associated with documentation, coding, and billing.… more
- Mendocino County Sheriff's Office (Ukiah, CA)
- Accountant Auditor II - Confidential Print (https://www.governmentjobs.com/careers/mendocinoca/jobs/newprint/5179108) Apply Accountant Auditor II - ... office cash to internal and bank records. + Prepares claims for reimbursement of mandated costs. + Assists departments...submitted without the required proof of education, licensure, or certification will be considered incomplete and will not move… more
- The County of Los Angeles (Los Angeles, CA)
- …class of Administrative Assistant III, Assistant Hospital Administrator I, Contract Program Auditor , or higher. Option III: One year of responsible *staff experience ... complete this questionnaire completely, correctly, and accurately. The experience you claim in this supplemental questionnaire must be consistent with experience… more
- The County of Los Angeles (Los Angeles, CA)
- …requirements for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations and result ... Health Services or Mental Health, departmental administration and by the Auditor -Controller when necessary. Writes policy and procedure manuals pertinent to… more