• Compliance Coding Auditor

    Sharp HealthCare (San Diego, CA)
    …Auditor will analyze and assess Sharp's potential risks using SHC's billing and coding claims data, risk assessment data, MDAudit risk analyzer software, OIG ... Sharp HealthCare 's (SHC) compliance audit function and maintaining Sharp HealthCare 's view of coding , billing and reimbursement compliance audits. **Required… more
    Sharp HealthCare (01/07/26)
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  • Medical Coding Auditor

    Humana (Sacramento, CA)
    …part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records ... guidelines/procedures. **Where you Come In** The Medical Coding Auditor reviews medical claims ...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
    Humana (01/07/26)
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  • Senior Coding Denials Management Specialist…

    University of Southern California (Los Angeles, CA)
    …Coding Denials Management Specialist" analyze, investigate, mitigate, and resolve all coding -related ' claims denials' and ' claims rejections,' specific to ... services provided to covered patients. Manages the denial management process for coding -related denials, triage denied claims to distinguish coding -related… more
    University of Southern California (01/11/26)
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  • Medical Coding Auditor

    Humana (Sacramento, CA)
    …part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records ... ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied... coding /auditing multispecialty surgical procedures. + Experience with coding /auditing Professional Inpatient Claims + Experience in… more
    Humana (01/14/26)
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  • Vice President of Health Plan Operations…

    Prime Healthcare (Ontario, CA)
    …to all levels using Microsoft Office applications. + Strong knowledge of medical coding (ICD-10, HCPCs/CPT, etc.) Preferred qualifications: + Certified ... to improve the quality and minimize process cost of Claims for all Prime Healthcare 's self-insured Employee...Professional Coding Certification, AIC, ARM, or equivalent. + Familiarity with… more
    Prime Healthcare (12/24/25)
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  • Inpatient Medical Coding Auditor

    Humana (Sacramento, CA)
    …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from...one of these qualifications for 4 years) * MS-DRG coding /auditing experience * Experience reading and interpreting claims… more
    Humana (12/23/25)
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  • DRG Coding Auditor Principal

    Elevance Health (Los Angeles, CA)
    …spending. The **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) ... audits claims by integrating advanced or convoluted medical chart coding principles (found in the...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (12/24/25)
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  • Coding Compliance Auditor - Coding…

    University of Southern California (Los Angeles, CA)
    …Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel. 2. Ability to ... and Athena IDX in a manner to assure clean claims release for billing in a timely manner. Participate...Medical Terminology, Anatomy & Physiology and a certified coding course + Combined education/experience can substitute for Completion… more
    University of Southern California (11/19/25)
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  • Senior PPI Professional - Inpatient Coding…

    Humana (Sacramento, CA)
    …for timeliness, compliance and quality. + Will be a SME (Subject Matter Expert) medical coder with in-depth experience in inpatient coding audits (MSDRG/APDRG) + ... health first** The Senior Payment Integrity Professional - Inpatient Coding Disputes on the Disputes Team consults and collaborates...starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits +… more
    Humana (01/13/26)
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  • REMOTE Claims Examiner

    TEKsystems (Santa Barbara, CA)
    …projects as assigned. Skills + Claims Processing + Project Management + Healthcare Operations + Workflow Optimization + Medical Terminology & Coding ... Professional Summary Detail-oriented and highly organized claims specialist with expertise in D-SNP (Dual Eligible...written communication skills + Strong attention to detail + Medical terminology and/or coding experience highly desirable… more
    TEKsystems (01/08/26)
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