- 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
- 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
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Auditor III, $5,000 SIGN ON BONUS Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 ... required to achieve that purpose. Job Summary The Specialty Health Plans Auditor III is offering a...and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans… more
- Elevance Health (Costa Mesa, CA)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... -5PM (local time) 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
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Certified Health Care Compliance (CHC) - Compliance Certification Board; Certified Clinical Documentation ... and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's)… 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
- 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
- The County of Los Angeles (Los Angeles, CA)
- …our patients and our communities by providing extraordinary care. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided ... hospitals are training sites for physicians completing their Graduate Medical Education in nearly every medical specialty...those approved by Health Services or Mental Health , departmental administration and by the Auditor -Controller… more
- The County of Los Angeles (Los Angeles, CA)
- …successfully pass the assessment will be considered for permanent appointment to Health Care Financial Analyst. DEFINITION: Prepares reimbursement claims for ... health care provided under Federal, State and Special medical aid programs or prepares yearly budget requests, annual...those approved by Health Services or Mental Health , departmental administration and by the Auditor -Controller… more