• Diagnosis Related Group Clinical Validation…

    Elevance Health (Costa Mesa, CA)
    …and APR-DRG)** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. ... **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG...years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of… more
    Elevance Health (09/23/25)
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  • Clinical Compliance Auditor

    Astrix Technology (Los Angeles, CA)
    ** Clinical Compliance Auditor ** Clinical Los Angeles, CA, US Pay Rate Low: 100000 | Pay Rate High: 150000 + Added - 04/04/2025 Apply for Job We're partnering ... client in the biotechnology industry, and they're on the lookout for a talented ** Clinical Compliance Auditor ** to join their dynamic team! If you're passionate… more
    Astrix Technology (10/12/25)
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  • Senior Manager, GCP Auditor

    BeOne Medicines (San Mateo, CA)
    General Description: This position within R&D Quality is a senior Auditor role (as Lead or Co- auditor ) who is responsible for independently overseeing and ... play a critical role in safeguarding the integrity, safety, and quality of clinical research processes and data. This position requires: + Extensive knowledge and/or… more
    BeOne Medicines (09/27/25)
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  • Compliance Coding Auditor

    Sharp HealthCare (San Diego, CA)
    …Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Certified ... ICD-10-CM/PCS coding, DRG coding and CPT coding classification. + Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate… more
    Sharp HealthCare (10/08/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Sacramento, CA)
    …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding… more
    Highmark Health (09/20/25)
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  • Coding Auditor & Educator

    WelbeHealth (Sacramento, CA)
    … and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams ... on best practices to promote compliance. **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants + Conduct pre-visit chart preparations and post-visit chart reviews + Oversee… more
    WelbeHealth (09/19/25)
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  • Auditor , HCC Risk Adjustment Coding - Full…

    Datavant (Sacramento, CA)
    …adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and ... educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and… more
    Datavant (08/08/25)
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  • Regional Compliance Auditor

    Spread Your Wings, LLC. (Garden Grove, CA)
    …the assigned region. Primary functions will include assessing service delivery, documentation compliance, monitoring of client records, and serving as the ... + Reviewing all client records (Master binders, etc.) and other relevant clinical documents and files, in client homes and/or program office locations. +… more
    Spread Your Wings, LLC. (07/26/25)
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  • Inpatient Audit Specialist

    Datavant (Sacramento, CA)
    …audits. + Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation . + Communicate effectively with co-workers, ... future of healthcare from your own workspace! Preferred: Inpatient auditor with 3-5 years of experience at a Trauma...assess proper coding or identify the need for additional documentation . Scrutinizes all HCPCS and CPT codes influencing APC… more
    Datavant (10/09/25)
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  • Investigator External Audit Special Investigations…

    Providence (Oakland, CA)
    …Internal Auditor or Healthcare Compliance certification upon hire. + Clinical background. **Salary Range by Location:** **California: Humboldt: Min: $29.62, Max: ... coding practices; and providing education related to coding, medical record documentation requirements, healthcare compliance and fraud, waste and abuse to Health… more
    Providence (09/27/25)
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