NewRevenue Cycle Auditor RN - Revenue Integrity - Full time, Day, Remote Providence Health & ServicesRevenue Cycle Auditor RN - Revenue Integrity - Full time, Day, RemoteIrvine, CARemoteRequsition ID: 457901 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: CA Irvine 15480 Laguna Canyon Rd Work Location: Providence System Offices Discovery Park-Irvine Workplace Type: On-site 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. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Clinical Network Compliance Auditor, RN Supervisor SCAN Health PlanClinical Network Compliance Auditor, RN SupervisorLong Beach, CaliforniaHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. Performs and provides oversight to the Managed Care Plan's (MCP) Department of Health Care Services (DHCS) auditing team responsible for conducting and overseeing both initial and subsequent reviews of Primary Care Provider (PCP) sites.
NewNight Auditor - Part Time - Overnight Noble House Hotels and ResortsNight Auditor - Part Time - OvernightLos Angeles, CAAs part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our recruiting teams organize, summarize, and analyze information provided by candidates, including resumes, application responses, and other materials submitted during the application process. You'll balance the books, reconcile accounts, and prepare detailed reports that set the next day up for success-all while being a friendly face for guests checking in late or heading out early.
Night Auditor GOLDEN HOTELS LIMITED PARTNERSHIPNight AuditorIrvine, CAPart timeGolden Hotels Limited Partnership is a trusted name in the hospitality industry, committed to providing guests with comfortable, welcoming, and memorable stays in Irvine, CA. This is your opportunity to play a key role in keeping our hotel running smoothly through the night while delivering exceptional guest experiences.
DRG Coding Auditor - MS-DRG and APR-DRG Elevance Health IncDRG Coding Auditor - MS-DRG and APR-DRGCosta Mesa, CA$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Hotel Night Auditor - Part Time (Fri and Sat) Homewood Suites & Hampton IrvineHotel Night Auditor - Part Time (Fri and Sat)Lake Forest, CaliforniaThe Homewood Suites Irvine Spectrum/Lake Forest and Hampton Inn Irvine Spectrum/Lake Forest, a dual-branded property managed by S3 Hotel Group, are seeking a reliable and detail-oriented Part-Time Night Auditor to join our Front Office team. This position is ideal for an individual who enjoys working independently, excels in customer service, and takes pride in maintaining accurate financial records while ensuring exceptional guest experiences during overnight operations.
Part-time Night Auditor Hampton Inn IrvinePart-time Night AuditorIrvine, CaliforniaDistribute work (i.e., revenue printouts, charge and paid folios, vouchers, checks, etc.) as directed by S.O.P.S. · Train any new night auditors as management requests. Primary responsibilities include registering guests, making reservations, preparing daily reports, balancing transactions, and conducting security walks.
Auditor CONTACT GOVERNMENT SERVICESAuditorLos Angeles, CA$50,000–$100,000 / yearCGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations involving potentially complex financial transactions and complex organizations attempting to evade detection. Experience and expertise in performing the requisite services in Section 3 Preferred qualifications: Experience reviewing and understanding medical records and knowledge of medical billing procedures, including experience using STARS and/or Business Objects.
Senior Auditor CONTACT GOVERNMENT SERVICESSenior AuditorLos Angeles, CA$80,000–$150,000 / yearAnalyze and calculate ability to pay settlements and judgments, including analyzing debt covenants, borrowing capacity, adjusted earnings and earnings per share, financial ratios, accounts receivable and accounts payable, aging schedules, tax considerations, assessing collectability, and developing payment terms and schedules. CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses, which serve a significant role in determinations regarding investigations, prosecutions, settlements, and recovery in these matters, which can be voluminous and complex.
Installation Auditor (50574) Western Growers AssociationInstallation Auditor (50574)Irvine, CADo everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning and executing work in a helpful and collaborative manner, being willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating positive impact, and being diligent in delivering results. The Installation Auditor ensures accurate setup of new and renewing health benefit plans by auditing documentation for compliance with Western Growers Assurance Trust (WGAT) and Pinnacle Claims Management, Inc (PCMI).
Pharmacy Part D Auditor Clever Care Health Plan IncPharmacy Part D AuditorHuntington Beach, CA$80,000–$90,000 / yearThe Pharmacy Part D Oversight Auditor owns independent auditing and monitoring of Part D clinical compliance: CDAG (coverage determinations, exceptions, redeterminations), MTM program elements (targeting, CMR/TMR), and delegated PBM controls; ensures timeliness, accuracy, and member impact remediation are documented and audit-ready. By way of leadership approach, mobilize others to create extraordinary results, and unite people to turn challenges into successes by championing the following: Model the Way: Clarify values by finding your voice and affirming shared values.
NewCustomer Service Auditor (51375) Western Growers AssociationCustomer Service Auditor (51375)Irvine, CAMeet and maintain a 2% or lower error ratio month over month, based on accuracy adhering to the quality guidelines and clear communication through the audit forms received by the representatives. The incumbent provides each Customer Service Representative with written documentation of each call and compiles a comprehensive report at the end of each month that details the quality results of the team as a whole.
Risk Adjustment Coding Auditor Clever Care Health Plan IncRisk Adjustment Coding AuditorHuntington Beach, CA$72,800–$80,000 / yearThe Risk Adjustment Coding Auditor is responsible for conducting retrospective and prospective coding audits, diagnosis validation reviews, provider documentation assessments, and compliance monitoring activities to support accurate Medicare Advantage risk adjustment reporting and CMS audit readiness. The position supports enterprise risk adjustment initiatives through audit activities, RADV preparedness, chart review validation, vendor oversight, provider education, and continuous quality improvement efforts aimed at enhancing coding accuracy, documentation integrity, and risk score accuracy.
Auditor DHL GroupAuditorBloomington, CARole Purpose: Responsible for the accurate checking or counting of all product for both inbound and outbound freight and for ensuring all product is free of damage and infestation and production code dates are properly recorded. The core responsibilities of this role include: Assist in checking, inspecting or counting of all product for all operations departments and ensuring all product is free of damage and production code dates are properly recorded.
Night Auditor Springhill Suites Buena ParkNight AuditorBuena Park, CAPart timeChecking in guests, showing that classic “customer service” smile, and always having fun with this awesome team is what we want from you. Maintain responsibility and accountability for the hotel property and the safety of guests, and have authority for the hotel operations while on duty.
Part-Time Night Auditor Lodging DynamicsPart-Time Night AuditorAnaheim, CAFull timeLocation: 1600 S. Clementine Street, Anaheim CA 92802Expected Schedule at a Minimum: Friday and Saturday 11:00pm - 7:30pm (opportunity for additional shifts throughout the week, able to discuss at time of interview)Life as a Night Auditor:Greet guests upon arrival, check them in and provide them with any information they need to enjoy their stayProcess invoices, post checks to vendors and distribute employee checksRespond to guest complaints, requests and emergenciesReconcile all accounts in a timely mannerVerify that all EOD work has been performed by other departmentsSchedule guest wake-up calls and reservations for the following dayRespond to guest inquiries, concerns and complaints as neededAnswer phones and place reservationsWhat we're looking for:Excellent communication and math skills2+ years' experience in customer service or hospitalityAble to learn computer functions and other on-the-job skillsStrong eye for detailsGood problem-solving skillsAbility to multitaskSolid customer service skillsStrong written and verbal communication skillsExceptional customer service skillsWhat to expect in your first few months:First you will learn about the hotel and all of our amenities! This mission focuses on elevating human dignity by providing exceptional services and opportunities to our employees, guests, and investors.
Night Auditor Lodging DynamicsNight AuditorAnaheim, CAPart timeLocation:Life as a Night Auditor:Greet guests upon arrival, check them in and provide them with any information they need to enjoy their stayProcess invoices, post checks to vendors and distribute employee checksRespond to guest complaints, requests and emergenciesReconcile all accounts in a timely mannerVerify that all EOD work has been performed by other departmentsSchedule guest wake-up calls and reservations for the following dayRespond to guest inquiries, concerns and complaints as neededAnswer phones and place reservationsWhat we're looking for:Excellent communication and math skills2+ years' experience in customer service or hospitalityAble to learn computer functions and other on-the-job skillsStrong eye for detailsGood problem-solving skillsAbility to multitaskSolid customer service skillsStrong written and verbal communication skillsExceptional customer service skillsWhat to expect in your first few months:First you will learn about the hotel and all of our amenities! This mission focuses on elevating human dignity by providing exceptional services and opportunities to our employees, guests, and investors.
Medical Auditor - Remote YO AI LabsMedical Auditor - RemoteLos Angeles, CARemoteWe are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments.
Night Auditor General AccountsNight AuditorBuena Park, CaliforniaChecking in guests, showing that classic “customer service” smile, and always having fun with this awesome team is what we want from you. Maintain responsibility and accountability for the hotel property and the safety of guests, and have authority for the hotel operations while on duty.
NewPart-Time Night Auditor General AccountsPart-Time Night AuditorAnaheim, CaliforniaChecking in guests, showing that classic “customer service” smile, and always having fun with this awesome team is what we want from you. Maintain responsibility and accountability for the hotel property and the safety of guests, and have authority for the hotel operations while on duty.