- 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 ... 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
- BeOne Medicines (Emeryville, 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 ... conducting GCP audits, to ensure compliance with GCP regulations and industry standards, in accordance...role in safeguarding the integrity, safety, and quality of clinical research processes and data. This position requires: +… more
- Humana (Sacramento, CA)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , ... requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies… more
- Spread Your Wings, LLC. (Garden Grove, CA)
- …assigned region. Primary functions will include assessing service delivery, documentation compliance , monitoring of client records, and serving as the representative ... regulations and familiarity with developmental disabilities services is a plus. Compliance & Enforcement: Responsible for conducting monthly and quarterly audit… 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
- Sharp HealthCare (San Diego, CA)
- …+ 2 years' experience working as an HCC risk adjustment coding auditor . + Experience with medical billing, medical terminology, understanding of medical ... address issues identified through the audit/analysis.Identifies areas of potential compliance risk and notify management immediately.Identifies anomalies in coding.Identifies… more
- Highmark Health (Sacramento, CA)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
- CVS Health (Sacramento, CA)
- …part in ensuring coding accuracy and data integrity, directly impacting compliance and financial performance. Ideal candidates will bring a strong understanding ... purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and… more
- Humana (Sacramento, CA)
- …us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate ... medical coding, analytics, health record security and privacy, HIPAA compliance , and data governance. + Hold at least one...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Kelly Services (Irvine, CA)
- **REGULATORY COMPLIANCE - SENIOR ANALYST (Hybrid)** QUALIFICATIONS: a) Minimum education required: * A Bachelor's degree is required, preferably in a science or ... Japan's MHLW MO 169, EU MDR 2017/745 * Lead Auditor certification from an accredited / recognized organization (preferred)...- planned and not planned - to verify the compliance with the government regulations and applicable standards, along… more