• Compliance Coding Auditor

    Sharp HealthCare (San Diego, CA)
    …the position, and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's ... Coding ComplianceCompliance Coding and Billing AuditsThe Compliance Coding Auditor has the primary responsibility of performing all audits and chart… more
    Sharp HealthCare (07/13/25)
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  • Inpatient Coding Auditor

    UCLA Health (Los Angeles, CA)
    Description As an Inpatient Coding Auditor with a specialization in DRG payment reviews, you will conduct thorough audits of inpatient coding to ensure ... and State regulations. Reporting to the Director of Medical Coding , your role will involve evaluating coding ...Medical Coding , your role will involve evaluating coding accuracy for inpatient services and providing coding… more
    UCLA Health (06/14/25)
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  • Coding Auditor Educator

    Highmark Health (Sacramento, CA)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
    Highmark Health (05/09/25)
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  • Senior Inpatient Medical Coding…

    Humana (Sacramento, CA)
    …caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical records and ... evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG) assignments.… more
    Humana (06/26/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Sacramento, CA)
    …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... monitoring of healthcare records + Must be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be… more
    Humana (07/29/25)
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  • Inpatient DRG Quality Auditor

    Humana (Sacramento, CA)
    …This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from medical records and ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement,… more
    Humana (07/25/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Costa Mesa, CA)
    **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
    Elevance Health (07/17/25)
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  • Remote Outpatient Claims Edit Auditor

    Amergis (Los Angeles, CA)
    …Hospital Experience (REQUIRED) + 2+ years of recent Auditing Experience + 3+ years of Coding Experience + EPIC & 3M 360 (REQUIRED) + AHIMA or AAPC (REQUIRED) + FLU ... SHOT AND TB (REQUIRED) + COVID SHOT (Only required if you live in temp to perm state s - CA, AZ, NV, OR, CO, FL, GA, TX, MN, WI) Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the… more
    Amergis (07/12/25)
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  • Supervisor, Revenue Integrity

    Scripps Health (San Diego, CA)
    …Skills:* * Five (5) years experience in a Revenue Integrity, Coding or Auditing division. * Experience required with reimbursement methodologies, auditing ... Certification/Registration:* * Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS), from American Health Information Management Association… more
    Scripps Health (06/13/25)
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  • Accounting Technician II (Community Programs)

    The County of Los Angeles (Los Angeles, CA)
    …assets. Reviews trial balances of accounts and reconciles to the Auditor -Controller's Countywide Accounting and Purchasing System (eCAPS) and subsidiary ledgers and ... accounting work such as posting to ledgers, journals and registers; coding documents; preparing deposits; and reconciling differences incidental to performing… more
    The County of Los Angeles (07/25/25)
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