- 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
- Prime Therapeutics (San Diego, CA)
- …procedures and objectives + Leverage professional pharmacy technician knowledge to validate claim documentation and systems data while onsite to ensure ... passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy Auditor … more
- Elevance Health (Walnut Creek, CA)
- …preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems , provider billing guidelines, payer ... **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
- Highmark Health (Sacramento, CA)
- …to resolve issues and provide advice on new programs. Provides guidance to system entities in response to external coding audits conducted by the Medicare ... the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems , missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure… more
- Insight Global (Irvine, CA)
- …terminology. Previous experience as a medical claims examiner or auditor preferred. Experience with claim investigation, quality assurance process, ad-hoc ... will assist management with implementation of measures to ensure claim processing and payment accuracy. They will also help...working with excel In the job experience of EHR systems and medical insurance claims management softwares… more
- The County of Los Angeles (Los Angeles, CA)
- …(1) year's professional auditing or accounting experience** at the level of Senior Accountant- Auditor , Senior Accounting Systems Technician , Senior Accounting ... auditing or accounting experience at the level of Senior Accountant- Auditor , Senior Accounting Systems Technician ,...and assign a score based on a standardized scoring system . This part of the assessment is worth 100%… more
- The County of Los Angeles (Los Angeles, CA)
- …of assets. Reviews trial balances of accounts and reconciles to the Auditor -Controller's Countywide Accounting and Purchasing System (eCAPS) and subsidiary ... Angeles County Department of Health Services (DHS) is the second largest municipal health system in the nation. Through its unified system of 23 health centers… more
- The County of Los Angeles (Los Angeles, CA)
- …Los Angeles County Department of Health Services (DHS) is the second-largest municipal health system in the nation. Through its integrated system of 23 health ... runs the Emergency Medical Services (EMS) Agency and the County's 911 emergency response system , as well as Housing for Health and the Office of Diversion and… 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
- Warner Bros. Discovery (Burbank, CA)
- …Defends production incentive claim from either 3rd party CPA or government auditor . + Retrieves all required support (from digital and physical filing systems ... ) required to compile the claim /application and to defend the production incentive from audit/review. + Reviews incentive coding in GL to ensure accuracy. + Tracks and reviews required support needed to fulfill incentive requirements. + Assists with ad hoc… more