- Astrix Technology (Los Angeles, CA)
- ** Clinical Compliance Auditor ** Clinical Los Angeles, CA, US Pay Rate Low: 100000 | Pay Rate High: 150000 + Added - 04/04/2025 Apply for Job 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
- 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
- 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 (Los Angeles, 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
- Molina Healthcare (Long Beach, CA)
- JOB DESCRIPTION Job SummaryProvides support for non- clinical healthcare services auditing activities. Responsible for performing audits for non- clinical ... functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide… more
- University of Southern California (Alhambra, CA)
- …Specialist also coordinates with Keck Medical Center of USC Administration, IS, Compliance , Clinical Informatics and Integration personnel on technology projects ... As the center of clinical charge capture, the Revenue Integrity (RI) Specialist...As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... responsible for implementing these policies and procedures to ensure compliance . Discusses accounting systems studies and findings with departmental personnel.… more
- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... control systems. Supervises the review of audit findings prepared by the County Auditor and outside agencies and supervises the preparation of reports to support… more
- University of Southern California (Los Angeles, CA)
- …preparation and audits. The analyst works collaboratively with finance, revenue cycle, compliance , and clinical teams to maintain proper reimbursement under ... reporting and reimbursement, focusing on tasks such as preparing and ensuring compliance with the Medicare Cost Report (MCR) and related Medicaid Cost Reports.… more