- 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 ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...achieve that purpose. Job Summary The Specialty Health Plans Auditor III is offering a $5,000 Sign On Bonus.… 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
- UCLA Health (Los Angeles, CA)
- …& Gynecology, Surgery, and Urology at UCLA seek to hire a Controls and Compliance Auditor . The Controls and Compliance Auditor is an important member of the ... departmental administrative team, reporting to the Director of Business Analytics & Quality Improvement. in this role you will be the subject-matter expert on UCLA's… more
- Prime Healthcare (Ontario, CA)
- …new members to join our corporate team! Responsibilities The Inpatient Coder Auditor Trainee reviews and analyzes documentation present in the medical record for ... Specialists (CDS) or Computer Assisted Coding (CAC) software. The Inpatient Coder Auditor Trainee finalizes the coding and abstracting of the medical record upon… more
- Prime Therapeutics (San Diego, CA)
- …passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy Auditor ... + 2 years of work experience in audit or quality assurance + 1 year of work experience in...information + Professional appearance, demeanor, and conflict resolution skills ** Preferred Qualifications** + 3 years previous audit experience +… more
- Silvus Technologies (Los Angeles, CA)
- …supplier quality management practices. + Certified Quality Auditor (CQA) or similar certification preferred . + Excellent communication, collaboration, ... a pathway to a fulfilling career. **THE OPPORTUNITY** Silvus is seeking a **Supplier Quality Compliance Officer** who will report to the Quality Manager on the… more
- Sharp HealthCare (San Diego, CA)
- …+ 2 years' experience working as an HCC risk adjustment coding auditor . + Experience with medical billing, medical terminology, understanding of medical ... (CCS) - The American Health Information Management Association (AHIMA) -REQUIRED ** Preferred Qualifications** + Certified Risk Adjustment Coder (CRC) - American… more
- Highmark Health (Sacramento, CA)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management, designs and… more
- CVS Health (Sacramento, CA)
- …each and every day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This role plays a ... a passion for continuous improvement. This position will sit within our Coding Quality Operations team and offers the flexibility of working from home. **Position… more
- Deloitte (San Francisco, CA)
- Audit and Assurance Information Technology Auditor - Senior Consultant Do you thrive in times of disruption? Have a passion for turning challenges and opportunities ... of our people, leading-edge technology, and a global network to deliver high- quality audits of financial statements and internal controls over financial reporting,… more