Claims Auditor Health Source MSOClaims AuditorAlhambra, CAFull timeResponsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including:Contractual agreement rates. Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners.
NewAuditor Capstone Logistics LLCAuditorCompton, CAOur team fully embraces a high-performance culture, that inspires us to build strong relationships, challenge the status quo, work hard to deliver results, and pay it forward in our communities. About the Company: Capstone is a North American supply chain solutions partner with more than 650 operating locations, 19,000 associates, and 60,000 carriers.
NewWarehouse Auditor Capstone Logistics LLCWarehouse AuditorWalnut, CACommunicate violations by gathering up to 30 photographs using multiple angles if necessary. Identify and document root causes through tablet procedures.
Sr Internal Auditor Freeman Decorating Services, Inc.Sr Internal AuditorAnaheim, CAThe Senior Staff Auditor leads integrated audits across IT, financial, and operational processes and provides consultative support on strategic initiatives, control design, and process improvements. The Senior Staff Auditor leads and executes operational, financial, and compliance audits, including audit planning, risk assessment, fieldwork, data analysis, control testing, and audit reporting.
Sr. Internal Auditor Astrana Health, Inc.Sr. Internal AuditorAlhambra, California$110,000–$125,000 / yearInternal Auditor is responsible for all aspects of the SOX 404 compliance process including assisting with annual planning, performing walkthroughs, and performing controls testing to evaluate the design and operating effectiveness of key internal controls over financial reporting (ICFR). Works closely with business process owners and consultants to improve SOX documentation (i.e., refine risk control matrix, improve process flows, develop test procedures, propose control language, improve supporting documents).
Internal Auditor, Consultant Blue Cross and Blue Shield AssociationInternal Auditor, ConsultantWoodland Hills, CAIn this role, you will: Independently execute end-to-end internal audits, including performing effective risk assessments, planning, assessing the design of controls, testing the effectiveness of controls and reporting results to management. In this role you will be responsible for providing objective examinations of evidence for providing independent assessment to the Audit Committee, management and outside parties on the adequacy and effectiveness of governance, risk, management and control processes.
NewInternal Auditor Macpower Digital Assets Edge Private LimitedInternal AuditorLos Angeles, CARemote$90,000–$115,509 / yearRequired Licenses/Certifications: Certified Public Account (CPA) or Certified Internal Auditor (CIA) or Certified Fraud Examiner (CFE) or Certified Information Systems Auditor (CISA). Prepares audit programs and conducts audit reviews of assigned areas, including performing various audit procedures and documenting findings in work papers.
Senior Internal Auditor City of GlendaleSenior Internal AuditorGlendale, CA$7,564.03–$11,002.62 / yearReviews and appraises the fiscal integrity of City operations by analyzing fiscal procedures, verifying accounts and expenditures, and providing other analyses of financial and operating data; provides follow-up information regarding effectiveness and the safeguarding of City assets and revenues. Under direction of the Principal Auditor, this mid-management classification performs technical and complex municipal internal auditing work and supervises subordinate internal auditing staff.
Internal Auditor, Principal Blue Cross and Blue Shield AssociationInternal Auditor, PrincipalWoodland Hills, CALeverages data analytics and technical expertise to analyze complex datasets, identify risk patterns and anomalies, and drive data-driven audit insights; actively utilizes and champions emerging technologies, including AI, to enhance audit efficiency, coverage, and quality. In this role, you will: Execute the annual audit plan by independently performing audit procedures, including identifying and defining issues, developing criteria, reviewing, and analyzing evidence, and documenting management processes and procedures.
Internal IT Auditor, Senior Blue Cross and Blue Shield AssociationInternal IT Auditor, SeniorWoodland Hills, CACertified Information Systems Auditor (CISA), Advanced in AI Audit (AAIA), Certified Information Systems Security Professional (CISSP), Certified Internal Auditor (CIA) and/or Certified Secure Software Lifecycle Professional (CSSLP) highly desired. Basic competence and knowledge with support from others of: Financial Accounting and Finance Concepts, Managerial Accounting, Regulatory, Legal and Economics, Quality Framework, Ethics and Fraud, Information Technology, Governance, Risk and Controls, Organizational Theory and Behavior.
Sr. Internal Auditor Astrana Health IncSr. Internal AuditorAlhambra, CAInternal Auditor is responsible for all aspects of the SOX 404 compliance process including assisting with annual planning, performing walkthroughs, and performing controls testing to evaluate the design and operating effectiveness of key internal controls over financial reporting (ICFR). Successful candidates will have SOX compliance, financial audit, and operational audit experience (i.e., knowledgeable with all major financial cycles) and will have worked in fast-paced organizations with rapid growth and frequent change.
Senior Internal Auditor Astrana Health IncSenior Internal AuditorAlhambra, CAInternal Auditor is responsible for all aspects of the SOX 404 compliance process including assisting with annual planning, performing walkthroughs, and performing controls testing to evaluate the design and operating effectiveness of key internal controls over financial reporting (ICFR). Successful candidates will have SOX compliance, financial audit, and operational audit experience (i.e., knowledgeable with all major financial cycles) and will have worked in fast-paced organizations with rapid growth and frequent change.
Internal Auditor City of GlendaleInternal AuditorGlendale, CA$6,948.99–$10,107.69 / yearThis mid-management classification performs difficult technical and complex internal auditing work and performs all phases involved in an audit, including planning, organizing, performing, and reporting. Reviews and appraises the fiscal integrity of City operations by analyzing fiscal procedures, verifying accounts and expenditures, and providing other analyses of financial and operating data.
Staff Internal Auditor OP BancorpStaff Internal AuditorLos Angeles, CAThis role primarily focuses on executing key control testing, thoroughly documenting audit workpapers, and assisting in the preparation of audit findings and reports to ensure compliance, operational effectiveness, and the effectiveness of internal controls over financial reporting. Assists in preparing proper, persuasive, and written audit findings to various levels of management with regard to specific risk exposures, SOX control deficiencies, or operational improvements, emphasizing risk rationales and root cause analysis.
Staff Auditor I First City Credit UnionStaff Auditor IAltadena, CAFull timeMinimum three years of experience in any of the following areas: auditing, branch/cash operations, central operations, lending, information systems, enterprise risk management, compliance, or accounting. Assists in the monthly audit program by reviewing the following areas: Dormant accounts (including accessing members' accounts as a teller).
Internal Auditor City of HopeInternal AuditorCACity of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Join the transformative team at City of Hope, where we''re changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses.
Sr Internal Auditor City of HopeSr Internal AuditorCACity of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Experienced internal auditor leading portions of engagements, performing advanced audit procedures, and mentoring junior staff.
AI Auditor, Principal Blue Cross and Blue Shield AssociationAI Auditor, PrincipalWoodland Hills, CAThe AI Internal Audit Principal will partner closely with audit leadership, business stakeholders, technology teams, data science teams, Compliance, Legal, HR, Privacy, Information Security, Corporate Security, and investigations partners to identify AI-related fraud risks, detect suspicious activity, and strengthen controls that prevent, identify, and respond to misuse of AI. Requires a minimum of 10 years of prior related experience in internal audit, IT audit, technology risk, compliance, fraud detection, investigations, information security, data governance, model risk management, or related assurance functions.
IT Internal Auditor City of HopeIT Internal AuditorCACity of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. You will partner closely with business and technology leaders to assess risk, strengthen internal controls, and support the secure and effective use of technology across the organization.
Auditor East West Bancorp IncAuditorPasadena, CAOur teams of experienced, multi-cultural professionals help guide businesses and community members on both sides of the Pacific looking to explore new markets and create new opportunities, and our sustained growth and expertise in industries like real estate, entertainment and media, private equity and venture capital, and high-tech help build sustainable businesses and expand our associates' potential for career advancement. Assist with risk assessment of assigned department or functional area in established/required timeline; and assist in developing the draft annual Audit Plan.
NewJunior Internal Auditor Hybrid, Risk & Controls Champion Pasona NAJunior Internal Auditor Hybrid, Risk & Controls ChampionTorrance, CA$75,000–$85,000 / yearThis role, based in Torrance, CA, requires a Bachelor's degree and a minimum of 3 years in auditing or accounting. Internal Auditor to contribute to the full audit cycle while ensuring operational efficiency and compliance.
Auditor III (Remote) INSPYR SolutionsAuditor III (Remote)Los Angeles, CARemote$55–$61.50 / hourInformation collected and processed through your application with INSPYR Solutions (including any job applications you choose to submit) is subject to INSPYR Solutions’ Privacy Policy and INSPYR Solutions’ AI and Automated Employment Decision Tool Policy: https://www.inspyrsolutions.com/policies/ . The auditor will assess the design and operational effectiveness of controls within the various audits assigned, and coverage areas supporting the execution of the department's annual audit plan.
NewRemote Special Process Auditor KBR IncRemote Special Process AuditorTorrance, CARemote$51–$56 / hourNDT Special Process Quality Auditor will have experience in auditing globally diverse teams, communicating with senior management, managing challenging customer issues, leveraging the larger Aero organization for solutions, and solving complex problems where a degree of ambiguity exists. The successful candidate will have experience working with globally diverse teams, communicating with senior leadership, managing challenging customer issues, leveraging the larger Aero organization for solutions, and solving complex problems where a degree of ambiguity exists.
Senior Auditor East West BankSenior AuditorPasadena, CaliforniaFull timeOur teams of experienced, multi-cultural professionals help guide businesses and community members on both sides of the Pacific looking to explore new markets and create new opportunities, and our sustained growth and expertise in industries like real estate, entertainment and media, private equity and venture capital, and high-tech help build sustainable businesses and expand our associates’ potential for career advancement. Assist with risk assessment of assigned department or functional area in established/required timeline; and assist in developing the draft annual Audit Plan.
Quality Auditor Senior PlcQuality AuditorBurbank, CAStarting as 'Stainless Steel Products' in 1945, and acquired by Senior plc in 1995, we are vertically integrated with our own foundry, fabrication shop, and ISO-certified engineering lab, allowing us to design, manufacture, and qualify complex ducting systems for space launch, defense, and commercial aerospace applications worldwide. Traded on the London Stock Exchange, Senior designs and manufactures high-technology components and systems for the worldwide aerospace, defense, land vehicle and power & energy markets.
NewFood Safety Auditor SGS SAFood Safety AuditorCA$80,000–$90,000 / yearOur 99,600 employees operate a network of 2,600 offices and laboratories, working together to enable a better, safer and more interconnected world. SGS auditors have the industry and business expertise to perform food audits against chosen criteria and code of practice.
Associate Director, Clinical Quality Assurance Auditor Cytokinetics IncAssociate Director, Clinical Quality Assurance AuditorCA$195,300–$227,850 / yearThe ideal candidate has a quality mindset in global clinical development and oversees quality activities including but not limited to leading and conducting internal and external audits, representing CQA during inspection readiness with a proven ability to manage multiple complex projects. Cytokinetics is a specialty cardiovascular biopharmaceutical company, building on its over 25 years of pioneering scientific innovations in muscle biology, and advancing a pipeline of potential new medicines for patients suffering from diseases of cardiac muscle dysfunction.
NewSenior QA Auditor Boston Scientific CorpSenior QA AuditorValencia, CAThe individual will lead audits end to end-developing audit plans, conducting on-site and system audits, writing clear and detailed audit reports and findings, and following through on corrective actions-while also supporting and managing external audits with regulatory bodies such as the FDA and notified bodies. The position requires deep knowledge of quality systems within the medical device or pharmaceutical industry, strong critical thinking and questioning skills to drive process improvement, excellent written and verbal communication, and the ability to work cross‑functionally, collaborate effectively, and provide clear updates to management.
NewSenior Auditor Cell Therapy Quality AstraZeneca PlcSenior Auditor Cell Therapy QualitySanta Monica, CA$127,995–$191,995 / yearIn addition, our positions offer a short-term incentive bonus opportunity; eligibility to participate in our equity-based long-term incentive program (salaried roles), to receive a retirement contribution (hourly roles), and commission payment eligibility (sales roles). The job holder is responsible for conduction independent appraisals of quality and compliance systems, procedures and activities relating to GMP in order to determine their effectiveness in meeting requirements in a risk-based manner and ensuring AstraZeneca management are informed of the compliance status and any significant issues.
COMPLIANCE AUDITOR Los Angeles CountyCOMPLIANCE AUDITORLos Angeles, CA$96,119.04–$129,531.36 / yearVeteran's Credit: Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions. PWExams@pw.lacounty.gov, klent@hr.lacounty.gov, info@governmentjobs.com, talentcentral@shl.com, noreply@proctoru.com, and donot-reply@amcatmail.com to your email address and list of approved senders to prevent email notifications from being filtered as spam/junk/clutter mail.
Senior Analyst, Quality Systems and Compliance Auditor (Remote) RTX CorpSenior Analyst, Quality Systems and Compliance Auditor (Remote)CARemoteSupport the Lead Auditor such as audit planning in conjunction with the EQA audit planner, representing the audit team with site leadership, conducting opening and closing meetings, and daily debriefs with site personnel. Special Audits and Assessments: Support special audits (e.g., suspensions, major customer complaints, high-risk sites, etc.), independent assessments, and site certifications as required by RTX business units.
Manager, Quality System Compliance Auditor (Remote) RTX CorpManager, Quality System Compliance Auditor (Remote)CARemotePerform formal responsibilities of a lead auditor such as audit planning in conjunction with the EQA audit planner, representing the audit team with site leadership, conducting opening and closing meetings, and daily debriefs with site personnel. Special Audits and Assessments: Support special audits (e.g., suspensions, major customer complaints, high-risk sites, etc.), independent assessments, and site certifications as required by RTX business units.
Principal Specialist, Quality System Compliance Auditor (Remote) RTX CorpPrincipal Specialist, Quality System Compliance Auditor (Remote)CARemotePerform formal responsibilities of a lead auditor such as audit planning in conjunction with the EQA audit planner, representing the audit team with site leadership, conducting opening and closing meetings, and daily debriefs with site personnel. Special Audits and Assessments: Support special audits (e.g., suspensions, major customer complaints, high-risk sites, etc.), independent assessments, and site certifications as required by RTX business units.
Claims Quality Auditor University of CaliforniaClaims Quality AuditorLos Angeles, CA$31.51–$62.64 / hourAs a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract interpretation, Division of Financial Responsibility (DOFR), and application/compliance with policies and procedures.
Aerospace Management Systems Auditor The British Standards InstitutionAerospace Management Systems AuditorLos Angeles, CARemote$102,000–$123,000 / yearAs an Aerospace Management Systems Auditor, you will be responsible for delivering BSI's audit services to assigned clients in accordance with all BSI, scheme and regulatory requirements to assure timely, cost-effective service delivery that assures satisfaction of our customer needs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
NewCompliance Auditor (Title 31) Hustler CasinoCompliance Auditor (Title 31)Gardena, CAA minimum of 2 years of work experience in the casino industry preferredEducation / Formal TrainingA high school diploma or general education degree (GED Finish)Bachelor's degree preferredAfter an offer of employment is made and prior to starting work, all employees must apply for and receive a Gardena City Work Permit at a cost of $125.Physical RequirementsProlonged periods of sitting at a desk and working on a computer. OverviewMajor Responsibilities:Ensure where stipulated by law, all Currency Transaction Reports (CTR) are entered into Casino Management, and all folders and accompanying documents are processed for review and e‑file transmission via the BSA E‑Filing System.
Claims Quality Auditor UCLA Health SystemClaims Quality AuditorLos Angeles, CA$31.51–$62.64 / hourb'nn n n n n n n n n n n n nn n n n n n n n n n n n n n n n n n Claims Quality Auditor - - 31703 - UCLA Healthn n nnnn nn n n n nn n n n n Skip to content nn n n n n n UCLA Health Home Page n n nn nnn n nn n Main menu. Press enter or space keys to expands and escape key to collapse nn n n n n n n Search jobs n n nn n n n Empl...
Staff Auditor Wertz & AssociatesStaff AuditorBurbank, CAWe're currently partnering with a highly respected public accounting firm in the Burbank, CA area that is looking to add a Staff Auditor to their growing team. This is a great opportunity for someone who enjoys audit work and is looking to step into a firm that truly values its people—while offering a strong balance of career growth, compensation, and work-life balance.
NewQA Auditor LYMI IncQA AuditorVernon, CA$20–$25 / hourNamed one of Fast Company's Brands That Matter and winning a Best Carbon Footprint award, we have big goals like being Climate Positive by 2025, Circular by 2030, and pushing the whole industry forward along the way. We offer retirement planning support for eligible employees, including the option to invest in Environmental Social Governance-aligned (fancy way to say sustainable) funds.
Senior Internal Auditor (General Audit) TikTok IncSenior Internal Auditor (General Audit)Los Angeles, CAThe Internal Audit team plans and executes audit projects in accordance with the audit plan and risk assessments, evaluating the efficiency and effectiveness of current-state financial, compliance, and operational processes and controls. This position is designed for an individual with a strong understanding of business and financial processes and controls, sound knowledge of the audit process, good analytical skills, and the ability to work both independently and as part of a team.
AI Auditor, Senior Blue Cross and Blue Shield AssociationAI Auditor, SeniorLong Beach, CAThe AI Internal Audit Consultant will help evaluate AI activity, system usage, data flows, prompts, outputs, logs, access patterns, process documentation, and control evidence to identify suspicious behavior, potential compliance violations, fraud indicators, or inappropriate use of AI tools. Requires a minimum of 5 years of prior related experience in internal audit, IT audit, technology risk, compliance, fraud detection, investigations, information security, data governance, data analytics, model risk management, or related assurance functions.
Manager, Quality Compliance Auditor Herbalife LtdManager, Quality Compliance AuditorTorrance, CAServe as a subject matter expert in the interpretation and implementation of all applicable regulatory requirements (e.g., 21 CFR Parts 117, 114, 111, 11, NSF, ISO, Halal, Kosher, Non-GMO, etc.)• Manage and/or oversee all compliance-related programs• Communicate and/or interact with compliance experts and consultants as required• Train company personnel on compliance-related topics and procedures• Write and revise compliance-related procedures and forms• Provide assistance before, during and after all regulatory inspections• Ensure sites have a PCQI (Preventive Controls Qualified Individual) for FSMA, food safety plans are maintained, and have a site coordinator for HACCP• Evaluate regulatory changes to facilities, QC laboratories, materials, products and equipment for to Herbalife and supporting functions.• SKILLS AND BACKGROUND REQUIRED TO BE SUCCESSFUL: • 7+ years of experience working in the globally regulated industry, preferably in food or dietary supplement industry and in quality or compliance-related roles• Required 3+ years of auditing experience in FDA-regulated industry• Working knowledge of QMS, GMPs, GLP's, FDA regulations and industry requirements and certifications for food and dietary supplements globally• Understanding of the cGMP/GLP manufacturing and laboratory environment and basic production operation• The ability to effectively communicate both verbally and in writing with demonstrated management influence• Comfortable in small group and large group settings.•
Auditor, Provider Data CalOptimaAuditor, Provider DataOrange, CA$68,015–$108,824 / yearBachelor's degree in healthcare administration or related field PLUS 2 years of experience working with provider data in a health care or managed care environment required, preferably in a related area of responsibility, such as utilization management, quality management or provider data management; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying. We are hoping you will join us as a Auditor, Provider Data and help shape the future of healthcare where you'll be an integral part of our Provider Data Operations team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders.
Auditor - Assurance - FAAS - FSO - Manager - Multiple Positions - 1716284 Ernst & Young Global LtdAuditor - Assurance - FAAS - FSO - Manager - Multiple Positions - 1716284Los Angeles, CAIf you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, type Option 2 (HR-related inquiries) and then type Option 1 (HR Shared Services Center), which will route you to EY's Talent Shared Services Team or email SSC Customer Support at ssc.customersupport@ey.com. Must have 2 years of recent experience in the planning, execution, and reporting of audits for financial statements prepared in accordance with U.S. GAAS and U.S. GAAP; or 2 years of recent experience in providing financial reporting accounting services.
Auditor - Assurance - FAAS - FSO - Manager - Multiple Positions - 1710461 Ernst & Young Global LtdAuditor - Assurance - FAAS - FSO - Manager - Multiple Positions - 1710461Los Angeles, CAIf you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, type Option 2 (HR-related inquiries) and then type Option 1 (HR Shared Services Center), which will route you to EY's Talent Shared Services Team or email SSC Customer Support at ssc.customersupport@ey.com. Must have 2 years of recent experience in the planning, execution, and reporting of audits for financial statements prepared in accordance with U.S. GAAS and U.S. GAAP; or 2 years of recent experience in providing financial reporting accounting services.
Lead Internal Auditor EMC Insurance Group Inc.Lead Internal AuditorCA$85,799–$118,545 / yearParticipates in assigned corporate-level projects, including special audits and investigations to address emerging risks, and serves as a subject matter expert for audit. Performs special audits as requested by the Chief Audit Officer and Internal Audit Director, such as reviewing a specific claim, policy transaction or agent.
Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaCoding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CaliforniaIn accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments – and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
Compliance Auditor -Remote Providence Health & ServicesCompliance Auditor -RemoteCARemoteRequsition ID: 442859 Company: Providence Jobs Job Category: Compliance Job Function: Legal/Compliance/Risk Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4008 SS COMPLIANCE Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Areas of audit focus for this position may involve clinical and non-clinical services, including but not limited to revenue cycle: Rev Cycle departments, Rev Cycle Billing Offices, External Vendor; HIM Coding, Revenue Integrity RI, Chargemaster CDM, EPIC, and Clinical Documentation CDT.
Compliance Auditor -Remote Providence St. Joseph HealthCompliance Auditor -RemoteLos Angeles, CARemoteAreas of audit focus for this position may involve clinical and non-clinical services, including but not limited to revenue cycle: Rev Cycle departments, Rev Cycle Billing Offices, External Vendor; HIM Coding, Revenue Integrity RI, Chargemaster CDM, EPIC, and Clinical Documentation CDT. This position works collaboratively with Case Management, Utilization Review, Revenue Integrity, our PB Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs and Finance under the supervision of the Rev Cycle Compliance Senior Manager.
Internal IT Auditor, Consultant Blue Cross and Blue Shield AssociationInternal IT Auditor, ConsultantWoodland Hills, CAComplete detailed audit work papers that describe the scope of audit work performed, results of tests conducted, the controls in place, and the control or compliance deficiencies noted, using sound judgment. Assess design and operating effectiveness of controls related to intellectual property (IP) protection, including source code repositories, model artifacts, proprietary algorithms, and data assets.