- WelbeHealth (Los Angeles, CA)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual...programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with Coding … more
- Elevance Health (Los Angeles, CA)
- **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Cedars-Sinai (Los Angeles, CA)
- …the general direction of the Manger or Associate Director, the Revenue Auditor Service Line performs audits of medical records against submitted professional ... bill and performs special audit requests for the department. The Revenue Auditor Service Line performs daily reconciliation of the submitted professional charges by… more
- Robert Half Accountemps (Alhambra, CA)
- Description We are in search of a Medical Chart Auditor whose primary responsibilities will involve verifying, rectifying, and finalizing edits in the Patient ... Accounting System or claims editing system. Occasionally, the Medical Chart Auditor will conduct insurance audits in conjunction with chosen payer auditors as per… more
- UCLA Health (Los Angeles, CA)
- Description As the Medicare Advantage Risk Adjustment Provider Documentation Trainer and Auditor , you will be an expert in risk adjustment coding and ... physicians (MD, DO, or NP) to ensure documentation and coding accuracy of ICD-10 CM codes related to chronic...ICD-10 CM codes related to chronic conditions + Analyze coding patterns within medical groups. + Provide customized education… more
- LA Care Health Plan (Los Angeles, CA)
- …Ability to track and trend the metrics associated with the examiner and auditor production and prepare and present written and verbal reports. Ability to research ... processing systems and claims data analysis. Advanced working knowledge of claims coding and medical terminology. An in-depth knowledge of claims code sets including… more