- Astrix Technology (Los Angeles, CA)
- ** Clinical Compliance Auditor ** Clinical Los Angeles, CA, US + Added - 04/04/2025 Apply for Job Pay Rate Low: 100000 | Pay Rate High: 150000 We're ... in the biotechnology industry, and they're on the lookout for a talented ** Clinical Compliance Auditor ** to join their dynamic team! If you're passionate… more
- Sharp HealthCare (San Diego, CA)
- …employer business practices. *This is a remote position* **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp ... timeframe. **Essential Functions** + Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of… more
- LA Care Health Plan (Los Angeles, CA)
- …net required to achieve that purpose. Job Summary The Risk Adjustment Coding Auditor II position is responsible for auditing clinical documentation and coding ... Risk Adjustment Coding Auditor II Job Category: Accounting/Finance Department: Risk Adjustment...and compliance of coding assignments per the clinical documentation for the various risk adjustment models (Health… more
- Sharp HealthCare (San Diego, CA)
- …To support and facilitate the implementation of correct coding standards by clinical providers as established by SHC Corporate Compliance in accordance ... healthcare environment related to auditing of medical records and CMS compliance . - Required **Essential Functions** + AuditingParticipates in audit risk assessment… more
- Cedars-Sinai (Los Angeles, CA)
- …America's Best Hospitals. **What will I be doing in this role?** The Coding Auditor works under the general direction of the Coding Supervisor. A Coding Auditor ... opportunities, and other related encounter data collection points. Auditors evaluate compliance with all coding guidelines including but not limited to: Internal… more
- Spread Your Wings, LLC. (Garden Grove, CA)
- …assigned region. Primary functions will include assessing service delivery, documentation compliance , monitoring of client records, and serving as the representative ... regulations and familiarity with developmental disabilities services is a plus. Compliance & Enforcement: Responsible for conducting monthly and quarterly audit… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct ... guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and… more
- UCLA Health (Los Angeles, CA)
- …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, and denied)...services, contract interpretation, Division of Financial Responsibility (DOFR), and application/ compliance with policies and procedures. You will: + Research… more
- Molina Healthcare (San Diego, CA)
- JOB DESCRIPTION Job Summary The Non- Clinical Auditor is responsible for conducting detailed audits of member service interactions, including call recordings and ... documentation, to assess accuracy, completeness, and compliance . This role ensures adherence to regulatory and organizational standards by monitoring for … more
- Providence (Torrance, CA)
- **Description** The Revenue Cycle Auditor is responsible for providing patient focused, standardized, compliant revenue cycle support that will assist Providence St ... objectives. - Conduct audits (individual chart/bill audits, focus audits, compliance audits, payer defense audits, patient requests for audit...Or + Bachelor's Degree Nursing. Or + 5 years Clinical experience in an acute care setting. + 3… more