- 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: $31.51 - $62.64 HourlyQualifications We're… more
- UCLA Health (Los Angeles, CA)
- …random and focus audits of all claim processing activities to identify inaccurate claims adjudication. This will involve reviewing UB04 and CMS 1500 healthcare ... claims and adjustments for accuracy, and appropriate application ...maintain statistical data and ensure compliance with production and quality standards in accordance with department policy. Salary Range:… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans 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...achieve that purpose. Job Summary The Specialty Health Plans Auditor III Claims is responsible for all… more
- Cognizant (Sacramento, CA)
- ** Claims Auditor ** (remote) This is a...part of a team: + Monitor, evaluate and score claims against established quality assurance instruments and ... to perform the following duties and work as part of our established claims adjudication team. We are seeking highly motivated healthcare professionals with auditing… more
- Elevance Health (Costa Mesa, CA)
- **Performance Quality Auditor I** **Location:** _Virtual:_ This role enables associate to work virtually full-time, with the exception of required in-person ... accommodation is granted as required by law. The **Performance Quality Auditor I** is responsible for evaluating...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- Humana (Sacramento, CA)
- …Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider ... caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Auditor III Finance **$5,000 Sign On 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, Finance, is offering a $5,000 Sign-On. This… 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 (CDI, MS-DRG, AP-DRG and APR-DRG)** **Virtual:** This...Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) ... audit program. The position provides oversight and maintenance of a high- quality , effective, best practices coding, billing, and reimbursement audit compliance… 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