- UCLA Health (Los Angeles, CA)
- …to the 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,...+ Computer proficiency with Microsoft Office + Knowledge of claims adjudication systems + Flexibility and adaptability… more
- Cedars-Sinai (Los Angeles, CA)
- …fuels innovation. **Req ID** : 13340 **Working Title** : Outpatient Surgical and Claims Edit Auditor **Department** : CSRC Coding Audit **Business Entity** : ... of the Year. This award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement....will I be doing in this role?** The Coding Auditor works under the general direction of the Coding… more
- Elevance Health (Costa Mesa, 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...preferred. + Broad, deep and niche knowledge of medical claims billing/payment systems provider billing guidelines, payer… more
- Elevance Health (Costa Mesa, CA)
- …preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems , provider billing guidelines, payer ... **Title:** Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG) **Virtual:** This...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… 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 ... remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp...coding or professional E/M coding in the following coding systems : ICD-10-CM/PCS, DRG, CPT& HCPCs, and/or E/M CPT. **Preferred… more
- University of Southern California (Los Angeles, CA)
- …with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure ... Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary… more
- Dignity Health (Rancho Cordova, CA)
- …Under the supervision of the Business Office Leadership, the Business Office Auditor role is responsible for monitoring the quality of work performed within ... Requires: + Knowledge of physician billing regulations + Understanding of professional claims and billing procedures + Knowledge of Federal and State regulations… more
- The County of Los Angeles (Los Angeles, CA)
- …permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, State ... laws, regulations or policies governing fiscal programs, the modification of accounting systems to incorporate changes and the production of program and financial… 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 ... operational problems, develops solutions and recommends modifications in the automated accounting system to improve the responsiveness of the system to the… more
- US Pacific Fleet (San Diego, CA)
- …a comprehensive contract quality assurance program for conforming contractor quality systems conformance to contract requirements. + You will identify and provide ... ensure adequate quality requirements are specified. + You will develop inspection system plans, instructions, and checklists to evaluate the effectiveness of the… more