- LA Care Health Plan (Los Angeles, CA)
- …tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health plans contracted with LA Care. This role works ... Financial Compliance Auditor III Claims Job Category: Accounting/Finance...audit results. Perform claims audits for all medical groups and health plans contracted with… more
- UCLA Health (Los Angeles, CA)
- …Take your career to the 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,...GED or equivalent + Four or more years of medical claims payment experience in an HMO… more
- UCLA Health (Los Angeles, CA)
- …your career in an exciting new direction. You can do all this and more at UCLA Health . The Claims Quality Auditor serves as the primary point of contact for ... or equivalent experience required + Minimum of 4 years medical claims payment experience in an HMO...Microsoft Word and Excel. + Good working knowledge of claims adjudication systems. UCLA Health welcomes all… more
- Conduent (Los Angeles, CA)
- …be part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...For You** Perks and rewards designed for you: + Health and Welfare Benefits: Our health and… more
- Elevance Health (Los Angeles, CA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... and skill development. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical ...you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles,… more
- The County of Los Angeles (Los Angeles, CA)
- LAW ENFORCEMENT AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4668332) Apply LAW ENFORCEMENT AUDITOR Salary $109,807.68 - ... choose among a variety of pre-tax and after-tax benefits that include Medical and Dental coverage, Group life insurance, Accidental Death and Dismemberment… more
- Humana (Sacramento, CA)
- …Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, ... part of our caring community and help us put health first** In this role, you will conduct quality...This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from… more
- Highmark Health (Sacramento, CA)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs...internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of… more
- LA Care Health Plan (Los Angeles, CA)
- …is responsible for planning audits and audit work programs that address appropriate claims and financial compliance criteria for specialty health plans. These ... Senior Health Care Audit Analyst Job Category: Accounting/Finance Department:...also LA Care contractual agreements. The position handles DMHC claims data submissions for LA Care and its Plan… more
- The County of Los Angeles (Los Angeles, CA)
- …County, CA Job Type Full time Job Number PH0668D Department PUBLIC HEALTH Opening Date 02/19/2025 + Description + Benefits + Questions Position/Program Information ... systems. + Supervises the review of audit findings prepared by the County Auditor and outside agencies and supervises the preparation of reports to support requests… more