• Auditor II- Ethics Commission

    City and County of San Francisco (San Francisco, CA)
    …year of the required experience. Desirable Qualifications + Professional certification as a Certified Public Accountant, Certified Internal Auditor , or ... effective operations within the Commission. Auditors also play a key role in reviewing claims for public financing to ensure that City funds are only distributed to… more
    City and County of San Francisco (07/31/25)
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  • Specialty Health Plans Auditor III

    LA Care Health Plan (Los Angeles, CA)
    …And/Or any of the following Licenses/ Certifications: Certified Public Accountant (CPA) Certified Internal Auditor (CIA) Certified Fraud Examiner (CFE) ... Specialty Health Plans Auditor III Job Category: Accounting/Finance Department: Financial Compliance...and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors.… more
    LA Care Health Plan (07/06/25)
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  • Coding Auditor Educator

    Highmark Health (Sacramento, CA)
    … Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
    Highmark Health (05/09/25)
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  • Compliance Coding Auditor

    Sharp HealthCare (San Diego, CA)
    …Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Health Care Compliance (CHC) - Compliance Certification Board; Certified ... and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's)… more
    Sharp HealthCare (07/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Walnut Creek, CA)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor -RN** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (08/01/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Sacramento, CA)
    …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience with metrics and reporting… more
    Humana (07/29/25)
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  • Accountant I/II/Senior

    Ventura County (Ventura, CA)
    …I) or calculates and analyzes (Accountant II) Incurred but not Reported medical claims based on system generated claim lag reports to provide realistic ... per hour (Level I), $1.00 per hour (Level II), or $1.32 per hour (Level III). + Certified Public Accountant (CPA) Pay - A premium of $.47 per hour for a maximum of… more
    Ventura County (06/02/25)
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