- UCLA Health (Los Angeles, CA)
- …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,...maintain statistical data consistent + Maintain departmental production and quality standards Salary Range: $30.56 - $60.82 HourlyQualifications We're… more
- UCLA Health (Los Angeles, CA)
- …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 submission ... reports for the department. Additional responsibilities include: + Reviewing claims for accuracy, appropriate application of benefits, contract interpretation and… more
- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Claims Auditor III Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...to achieve that purpose. Job Summary The Specialty Plans Auditor III is responsible for planning audits and audit… more
- Humana (Sacramento, CA)
- …looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider ... community and help us put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization,… more
- Elevance Health (Costa Mesa, CA)
- …applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum ... **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… 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
- Ross Stores, Inc. (Dublin, CA)
- …Our focus has always been bringing our customers a constant stream of high\- quality brands and on\-trend merchandise at extraordinary savings\. All while providing a ... conflicts\. * Tie out Landlord receivable balances by isolating overcharges, audit claims , misapplied checks, and unpaid charges\. * Contribute to the development… more
- US Pacific Fleet (CA)
- …plan, develop, organize, administer, evaluate, and manage a comprehensive contract quality assurance program for conforming contractor quality systems ... to contract requirements. + You will identify and provide contractor availability, quality and management performance assessments to the contracting officer for use… more
- Ventura County (Ventura, CA)
- …National Recreation Area. Ventura County's beauty and weather combined with a wonderful quality of life are among the many reasons our residents choose to call ... on schedule; prepares quarterly status reports; calculates allocation to the Auditor -Controller for fund accounting purposes; maintains accounting records for audit… more