- 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 ... Manage the maintenance of company-wide, policies, procedures, work instructions, and records , to assure the company of continuous compliance conformance with… more
- Sharp HealthCare (San Diego, CA)
- …HCC risk adjustment coding auditor . + Experience with medical billing, medical terminology, understanding of medical records / medical notes, etc. ... coding in an ambulatory and facility setting. + Ability to interpret medical records and notes to code accurately. + Familiarity with radiology and laboratory… more
- Highmark Health (Sacramento, CA)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of ... Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding… more
- Datavant (Sacramento, CA)
- …healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more
- Robert Half Office Team (Monterey Park, CA)
- Description Job Summary The Credentialing Auditor is responsible for auditing and overseeing credentialing processes both internally and for delegated entities. This ... Robert Half will consider for employment qualified applicants with arrest or conviction records in accordance with the Los Angeles County Fair Chance Ordinance for… more
- Bakersfield Behavioral Healthcare Hospital (Bakersfield, CA)
- …our open positions. Compassion Acceptance Respect Empowerment Sincerity Job Summary The Payroll Auditor at BBHH keeps us all compliant and within the confines of the ... or similar platforms will be helpful. Experience with managing complex and detailed records and expert-level Microsoft Excel required. You should have a current CPR… more
- ReSource Pro (Bakersfield, CA)
- …challenging and rewarding role? Your role: ReSource Pro is seeking an Insurance Field Auditor to play a vital role in ensuring accurate insurance policy premiums. In ... miles from your home base. + Analyze complex financial records to ensure accurate premium calculations. + Prepare detailed...preferred. Your Benefits and Perks: + Eligible for all medical , dental, and vision benefits on Day 1 +… more
- Humana (Sacramento, CA)
- … Medical Coding Professional extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical ... in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG)… more
- Spread Your Wings, LLC. (Garden Grove, CA)
- …the 1st of the following month after your first day on the job: * Company-paid Medical Plan (For employee only) * Medical , Dental & Vision plans for Self or ... will include assessing service delivery, documentation compliance, monitoring of client records , and serving as the representative for audits taking place at… more
- CVS Health (Sacramento, CA)
- …Summary** + Responsible for performing second level quality inter-rater review audits of medical records coded by internal team, as well as external vendor ... guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + Identify and communicate documentation deficiencies to allow… more