- Elevance Health (Los Angeles, CA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... essential face-to-face onboarding and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient… more
- Humana (Sacramento, CA)
- …is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle… more
- The County of Los Angeles (Los Angeles, CA)
- HEAD CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4448498) Apply HEAD ... CONTRACT PROGRAM AUDITOR / EMERGENCY APPOINTMENT HOMELESSNESS Salary $103,751.04 - $139,817.52...and monitoring contracts of public and private agencies which provide health care services for Los Angeles County. Essential… more
- UCLA Health (Los Angeles, CA)
- Description Take on an important role within a world-class health organization. Provide specialized expertise that enables the efficient operation of a complex ... this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of...in the development of breakthrough medical research and outstanding clinical professionals. If you're looking to experience greater challenge… more
- Highmark Health (Sacramento, CA)
- …as needed. Attends meetings and interacts with management to resolve issues and provide advice on new programs. Provides guidance to system entities in response to ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more
- Sharp HealthCare (San Diego, CA)
- …assure the accurate reporting and documentation of services provided by entity clinical providers. To support and facilitate the implementation of correct coding ... standards by clinical providers as established by SHC Corporate Compliance in...Functions** + AuditingParticipates in audit risk assessment for each division/ provider to determine trends and helps management identify need… more
- The Cigna Group (Sacramento, CA)
- …acuity cases, and/or account sensitive cases involving largest reserves. Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate ... an active caseload of inpatient case management cases for Cigna. + Uses clinical knowledge to assess inpatient admission level of care, treatment plan and goals,… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... control systems. Supervises the review of audit findings prepared by the County Auditor and outside agencies and supervises the preparation of reports to support… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... are in progress. Prepares formal replies to audit findings of the Auditor 's Office and other governmental agencies. Develops tests of accounting controls… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... Assistant III**, Assistant Hospital Administrator I , Contract Program Auditor , or higher. YouMUSTmeet one of the above...on the application, so it is important that you provide a valid email address. Please add the following… more