- Astrix Technology (El Segundo, CA)
- …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 ... **GCP Auditor ** Clinical El Segundo, California, US...clinical trial sites, as well as internal and compliance audits, including for-cause audits. + Prepare necessary documentation… more
- Sharp HealthCare (San Diego, CA)
- …employer business practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp ... timeframe. **Essential Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of… more
- Elevance Health (Los Angeles, CA)
- ** Clinical Provider Auditor I** **Location** : We prefer any of the following cities/States: Woodland Hills, CA; Denver, CO; Miami, FL; Tampa, FL; Atlanta, GA; ... an accommodation is granted as required by law. The ** Clinical Provider Auditor I** is responsible for...but are not limited to: + Examines claims for compliance with relevant billing and processing guidelines and identifies… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation and independent… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Sharp HealthCare (San Diego, CA)
- …To support and facilitate the implementation of correct coding standards by clinical providers as established by SHC Corporate Compliance in accordance ... healthcare environment related to auditing of medical records and CMS compliance . - Required **Essential Functions** + AuditingParticipates in audit risk assessment… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct ... coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the… more
- Cedars-Sinai (Los Angeles, CA)
- …America's Best Hospitals. **What will I be doing in this role?** The Coding Auditor works under the general direction of the Coding Supervisor. A Coding Auditor ... opportunities, and other related encounter data collection points. Auditors evaluate compliance with all coding guidelines including but not limited to: Internal… more
- Cedars-Sinai (Los Angeles, CA)
- …(sophisticated diagnostic and therapeutic procedures) + Daily follow-up with providers, clinical staff, the Coding department, Billing Compliance , and Revenue ... the general direction of the Manger or Associate Director, the Revenue Auditor Service Line performs audits of medical records against submitted professional… more
- UCLA Health (Los Angeles, CA)
- …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, and denied)...services, contract interpretation, Division of Financial Responsibility (DOFR), and application/ compliance with policies and procedures. You will: + Research… more