- General Atomics (Poway, CA)
- …surveillance systems. We have an exciting opportunity for an Internal Lead Auditor Quality Department located in Poway, CA **DUTIES AND RESPONSIBILITIES:** + Main ... point of contact for Quality Management System (QMS), procedures and work instructions. + Evaluate...lieu of education. + Must have certification as Lead Auditor to AS9100 standards. + Ability to work well… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Auditor III Claims Job Category: Customer Service Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full ... achieve that purpose. Job Summary The Specialty Health Plans Auditor III Claims is responsible for all aspects of...updated Policy and Procedure is reviewed and approved by management prior to submission. Supports the formalization of key… more
- Elevance Health (Walnut Creek, CA)
- **Diagnosis Related Group Clinical Validation Auditor -RN (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This role enables associates to work virtually full-time, ... granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Datavant (Sacramento, CA)
- …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...ability to work in a remote environment and time management skills + Working knowledge of the business use… more
- Sharp HealthCare (San Diego, CA)
- …AAPC; Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - The ... American Health Information Management Association (AHIMA); Certified Risk Adjustment Coder (CRC) -...years' experience working as an HCC risk adjustment coding auditor . + Experience with medical billing, medical terminology, understanding… more
- Lincoln Financial (Sacramento, CA)
- …#:** 74448 **The Role at a Glance** We are seeking an enthusiastic Senior IT Auditor who is a self-starter and initiative driven, ready to take ownership of critical ... detailed audit reports outlining findings, risk criteria, and recommendations for management , lead audit closing meetings, and ensure all audit documentation is… more
- Highmark Health (Sacramento, CA)
- …compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external audit findings and responds as ... needed. Attends meetings and interacts with management to resolve issues and provide advice on new...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
- Datavant (Sacramento, CA)
- …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 ... + Maintain communication with both Coders as well as management on errors, trends, educational opportunities, etc. + Other...trends, educational opportunities, etc. + Other tasks required by management . **What you will bring to the table:** +… more
- RGP (Glendora, CA)
- We are seeking a detail-oriented and analytical IT Auditor . This role is responsible for evaluating and improving the effectiveness of our organization's IT ... will have a strong understanding of IT governance, risk management , and compliance frameworks. Requires 5 days in office...and concise audit reports and present findings to senior management . + Monitor remediation efforts and follow up on… more
- Datavant (Sacramento, CA)
- …We are seeking a highly motivated and experienced Internal Controls Sr. Auditor to support the implementation of robust internal controls in preparation for ... to senior leadership. 17. Participate in the preparation of management reporting for internal and external stakeholders, including auditors. **Required… more