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.
STAFF TAX AUDITOR, EMPLOYMENT DEVELOPMENT DEPARTMENT State Of CaliforniaSTAFF TAX AUDITOR, EMPLOYMENT DEVELOPMENT DEPARTMENTSacramento, CA$7,304–$9,599Located in the heart of Downtown Sacramento and in close proximity of the State Capitol and the Golden1 Center, this beautiful and modern building provides the following amenities: Break areas, wellness/lactation rooms, coffee points, a fitness center with private showers, a Career Center for EDD Employees, a micro market, building-wide WiFi, an outdoor terrace, bike storage, nearby public transit options, and much more. If you are unable to apply electronically through your CalCareer account, please mail a completed and signed State Examination/Employment Application STD Form 678 and application package to the mailing address provided in the "Application Instructions' section below and ensure the following: Clearly indicate the Job Code #, Position Number and the Classification Title of this position in the "Examination or Job Title(s) For Which You Are Applying" section located on Page 3 of your State Examination/Employment STD Form 678.
SENIOR MANAGEMENT AUDITOR State Of CaliforniaSENIOR MANAGEMENT AUDITORSacramento, CA$8,265–$10,785 / yearEligibility for telework requires the employee to reside in California per California Government Code Section 14200 which states: "telecommuting means the partial or total substitution of computers or telecommunication technologies, or both, for the commute to work by employees residing in California.". The Lottery's mission is to provide supplemental funding for California's public schools and colleges, and we are seeking a highly motivated Internal Audit Manager to help strengthen our internal controls, support accountability, and advance this mission as part of our Internal Audits Team.
Hotel Front Desk/Night Auditor Motel 6 RiversideHotel Front Desk/Night AuditorBelmont, CaliforniaWhat we are searching for: The Guest Service Representative is vital to the delivery of our brand promise of delivering a clean, comfortable room with great service. What you will be doing: Our Guest Service Representatives create a hospitable guest experience while performing tasks at the front desk.
Claims Auditor Cohere Health Technologies LLCClaims AuditorCARemote$72,000–$82,000 / yearBacked by leading investors such as Deerfield Management, Define Ventures, Flare Capital Partners, Longitude Capital, and Polaris Partners, Cohere Health drives more transparent, streamlined healthcare processes, helping patients receive faster, more appropriate care and higher-quality outcomes. By unifying pre-service authorization data with post-service claims validation, we're creating a transparent healthcare ecosystem that reduces waste, improves payer-provider collaboration and patient outcomes, and ensures providers are paid promptly and accurately.
NewClin Trials Monitor/ Auditor City of HopeClin Trials Monitor/ 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. Performs comprehensive audits and monitoring of City of Hope Investigator-initiated clinical trials conducted under a COH-sponsored IND or IDE and other high-risk protocols as necessary.
NewMGA/Program Auditor (Contractor Role) Pro Global Holdings LtdMGA/Program Auditor (Contractor Role)CAWhether working closely with audit operations (administrators & peer review), reviewing pre-audit questionnaires (PAQs), responding to documentation, or diving into audit interviews, our auditors function with a level of enthusiasm and professionalism. The need for audits of Managing General Agents (MGAs), Third Party Administrators (TPAs), and those with delegated authority (ability to write insurance business) allows you to oversee multiple audit engagements at the same time; adding value in every step.
Compliance Auditor AvanathCompliance AuditorIrvine, CA$28.85–$31.35 / hourWe believe that bringing together people with diverse thoughts, backgrounds, talents, and experiences at all levels of our organization, including the executive team, enables us to proactively and creatively achieve our mission to enable opportunities for hard-working American families. An Approach that is positive and Professional - Consistently demonstrate an approach of active listening and understand that your participation and support are integral to the success of Avanath, ensuring that each resident and staff feel seen, heard and valued as you and the staff work to resolve challenges.
Onsite Pharmacy Auditor - Remote (based in Southern California) Prime Therapeutics LLCOnsite Pharmacy Auditor - Remote (based in Southern California)CARemote$28.37–$45.19 / hourThe Onsite Pharmacy Auditor travels to pharmacy locations and performs pharmacy audits and is responsible for the selection and auditing of claims, educating Prime's network pharmacies and driving contract compliance, and supporting downstream claim corrections to eliminate potential waste. Evaluate potential pharmacies to include in onsite trips considering such information as claim analytic data, prior audit history, and/or referrals, and submit recommended audit plan to manager for approval; finalize onsite audit plans and schedule trips in accordance to Prime's travel and expense policy.
Behavioral Health Auditor III ExlService Holdings IncBehavioral Health Auditor IIICARemote$60,100–$85,800 / yearEXL never requires or asks for fees/payments or credit card or bank details during any phase of the recruitment or hiring process and has not authorized any agencies or partners to collect any fee or payment from prospective candidates. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others.
Facility Inpatient Surgical and Claims Edit Auditor Cedars-Sinai Medical CenterFacility Inpatient Surgical and Claims Edit AuditorLos Angeles, CARemoteMaintains appropriate open communication with internal and external partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM), and Compliance Revenue Integrity (CRI). Auditors evaluate compliance with all coding guidelines including but not limited to: Internal Coding policies/procedures/handbook, American Hospital Association (AHA) and American Medical Association (AMA) coding references, local, State, and Federal Coding Guidelines.
Aerospace Management Systems Auditor Environmental & OccupationalAerospace Management Systems AuditorSan Francisco, 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.
NewSenior Auditor Ledger Executive SearchSenior AuditorSan Jose, CaliforniaPerform internal control testing and planning to support an audit opinion, including: preparing supporting work paper documentation, conducting analytical reviews of account balances and preparing financial statements. National CPA firm delivers quality audits and other services to public and privately owned middle-market companies, not-for-profit organizations and governmental agencies.
Auditor, Compliance (Remote) Molina Healthcare IncAuditor, Compliance (Remote)CARemoteAssists with monitoring activities involving the effective execution of corrective action requirements imposed by state or federal regulatory agencies for contract deficiencies. Performs on-going compliance audits utilizing as necessary, state evaluation tools relating to audit/monitoring activities.
Quality Assurance Auditor (Port Hueneme, CA) Subaru of America IncQuality Assurance Auditor (Port Hueneme, CA)Port Hueneme, CA$28.46–$33.65 / hourFocuses on monitoring, maintaining, and continuously improving vehicle quality performance across critical operational areas, including vehicle build quality, Pre-Delivery Inspection (PDI), and accessory installation processes as performed by the port processor. Computer skills to include PowerPoint, digital imaging manipulation, bar code scan tool data logging, and service and parts manual online access and research.
Senior Social Compliance Auditor - Northwest Region UL Solutions IncSenior Social Compliance Auditor - Northwest RegionAgoura Hills, CARemote$90,000–$120,000 / yearUL Solutions is seeking experienced professionals in the Northeast Region near Massachusetts, New Jersey and Connecticut to join our mission of promoting responsible sourcing and protecting human rights across global supply chains. We help our customers innovate, launch new products and services, navigate global markets and complex supply chains, and grow sustainably and responsibly into the future.
Night Auditor Highgate Hotels LPNight AuditorPleasanton, CAHighgate is a leading real estate investment and hospitality management company with over $15 billion of assets under management and a global portfolio of more than 400 hotels spanning North America, Europe, the Caribbean, and Latin America. He/she is also responsible for effectively communicating concerns and/or related issues to all levels of management and performing guest service agent duties as required, including check-in, check-out, switchboard operation and reservations.
Quality Assurance Specialist /Auditor Enpro IncQuality Assurance Specialist /AuditorMilpitas, CALeanTeq is a subsidiary of Enpro, a leading industrial technology company focused on critical applications across many end-markets, including semiconductor, industrial process, commercial vehicle, sustainable power generation, aerospace, food and pharma, photonics and life sciences. Overview of Position: LeanTeq is best-in-class in a very niche part of the semiconductor industry and is looking for quality-oriented people who enjoy working in a great culture to join our team.
Night Auditor Larkspur Landing CampbellNight AuditorCampbell, CaliforniaPart timeBalance revenue and settle accounts nightly, maintain files, and reset the system for the next day of operations while performing Guest Service Agent tasks and duties. Perform bookkeeping activities, such as balancing accounts and conducting nightly audits.
Night Auditor Hyatt Place Newark / Silicon ValleyNight AuditorNewark, CaliforniaThe ideal candidate should have excellent communication, customer service, and organizational skills, and be able to work independently with minimal supervision. Check-in and check-out guests, confirm reservations, assign rooms, and issuing keys.
Night Auditor Courtyard by Marriott San Diego DowntownNight AuditorSan Diego, CaliforniaFull timeBalance revenue and settle accounts nightly, maintain files, and reset the system for the next day of operations while performing Guest Service Agent tasks and duties. Perform bookkeeping activities, such as balancing accounts and conducting nightly audits.
Clinical Network Compliance Auditor, Supervisor SCAN Health PlanClinical Network Compliance Auditor, 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.
Night Auditor. The Exhange Sacramento, Curio Collection By Hilton Concord Hospitality Enterprises CoNight Auditor. The Exhange Sacramento, Curio Collection By HiltonSacramento, CAYoull handle front desk operations, monitor hotel activity, and ensure smooth night-time business processes while maintaining a safe environment for guests and staff. We provide a supportive, inclusive, and rewarding workplace where associates are valued, trained, and given opportunities to grow.
NewDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Costa Mesa, CA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Clinical Network Compliance Auditor, Supervisor SHPCA SCAN Health PlanClinical Network Compliance Auditor, SupervisorLong Beach, California$92,400–$133,671 / yearHowever, 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.
Senior Coding Auditor Montefiore Medical CenterSenior Coding AuditorLos Angeles, CA$76,632.04–$95,790.05 / yearThe Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes regarding charge errors, percentage of savings or losses for the facility, data processing errors, the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill. The Senior Coding Auditor performs detailed audits of medical cases to ensure accuracy of assigned codes, charges, availability of documented medical records, medical accounts and compares the cases with the itemized bill and overall procedures.
NewAuditor, Medical Devices - Full-Time Intertek Group PlcAuditor, Medical Devices - Full-TimeCARemoteMinimum Requirements & Qualifications: 4 year college/university degree in a science or technical field (biology or microbiology; chemistry or biochemistry; computer and software technology; electrical, electronic, mechanical or bioengineering; human physiology; medicine; pharmacy; physics or biophysics) or equivalent combination of relevant education and work experience. Working at Intertek means joining a global network of state-of-the-art facilities and passionate people who deliver superior customer service with a purpose of bringing quality, safety, and sustainability to life.
NewAuditor, Medical Devices, Qualified 3rd Party Experienced - Full-Time Intertek Group PlcAuditor, Medical Devices, Qualified 3rd Party Experienced - Full-TimeCARemoteMinimum Requirements & Qualifications: 4 year college/university degree in a science or technical field (biology or microbiology; chemistry or biochemistry; computer and software technology; electrical, electronic, mechanical or bioengineering; human physiology; medicine; pharmacy; physics or biophysics) or equivalent combination of relevant education and work experience. Related 3rd party auditing industry management systems experience with 3rd party audit log with 6 audits for a total at least 15 audit-days per 12-month period with at least 2 of these audits being initial or recertification audits and Lead Auditor role in at least 2 of these 6 audits within the last 12 months.
Night Auditor Hilton Worldwide Holdings IncNight AuditorOntario, CAAs a Night Auditor, you're not just overseeing overnight financial audits and reconciliations - you're spreading the light and warmth of hospitality by delivering memorable experiences that make the stay for every guest. As a global leader in hospitality, we've welcomed more than 3 billion guests worldwide, all while staying true to our founding vision: to fill the earth with the light and warmth of hospitality.
Night Auditor Lodging Dynamics Hospitality GroupNight AuditorAnaheim, CALocation:\n \nLife as a Night Auditor:\n\n Greet guests upon arrival, check them in and provide them with any information they need to enjoy their stay\n Process invoices, post checks to vendors and distribute employee checks\n Respond to guest complaints, requests and emergencies\n Reconcile all accounts in a timely manner\n Verify that all EOD work has been performed by other departments\n Schedule guest wake-up calls and reservations for the following day\n Respond to guest inquiries, concerns and complaints as needed\n Answer phones and place reservations\n \nWhat we're looking for:\n\n Excellent communication and math skills\n 2+ years' experience in customer service or hospitality\n Able to learn computer functions and other on-the-job skills\n Strong eye for details\n Good problem-solving skills\n Ability to multitask\n Solid customer service skills\n Strong written and verbal communication skills\n Exceptional customer service skills\n \nWhat to expect in your first few months:\n \nFirst 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.\n \nEmployment is contingent upon successful completion of a background check, conducted in accordance with applicable law.
Night Auditor - Hilton Santa Barbara Beachfront Resort Hilton Worldwide Holdings IncNight Auditor - Hilton Santa Barbara Beachfront ResortSanta Barbara, CAAs a Night Auditor, you're not just overseeing overnight financial audits and reconciliations - you're spreading the light and warmth of hospitality by delivering memorable experiences that make the stay for every guest. As a global leader in hospitality, we've welcomed more than 3 billion guests worldwide, all while staying true to our founding vision: to fill the earth with the light and warmth of hospitality.
Security Officer Patrol Auditor Allied UniversalSecurity Officer Patrol AuditorMountain View, CAJoin Allied Universal as an unarmed officer in a healthcare location, where you will monitor and patrol assigned areas, stay visible to help reduce security-related concerns, and support patients, visitors, and staff with strong customer service and communication. Conduct regular and random patrols throughout hospital buildings, public areas, parking locations, and perimeter grounds to help to deter unauthorized activity and identify unusual conditions.
Night Auditor The Westin Palo AltoNight AuditorPalo Alto, CaliforniaJob SummaryThe Night Auditor at The Sheraton Palo Alto is responsible for providing guest-focused hospitality services, serving as a night shift resource for customer service, and ensuring the security and safety of all hotel guests. Complete opening and closing shift duties, and communicate any outstanding guest requests or issues to management that may require additional monitoring or follow-up.
Part-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.
Night Auditor Super 8 LivermoreNight AuditorLivermore, CaliforniaThe ideal candidate should have excellent communication, customer service, and organizational skills, and be able to work independently with minimal supervision. Check-in and check-out guests, confirm reservations, assign rooms, and issuing keys.
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.
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.
INVESTIGATIVE AUDITOR IV (SUPERVISOR) DEPARTMENT OF JUSTICE State Of CaliforniaINVESTIGATIVE AUDITOR IV (SUPERVISOR) DEPARTMENT OF JUSTICESacramento, CA$7,530–$9,823The Investigative Auditor IV (Supervisor) supervises, assigns and monitors work of Investigative Auditors who conduct investigations of charities, charitable trusts, and professional fundraisers, and review asset sales, mergers, conversions, and other transactions that are subject to the supervision of the Attorney General pursuant to the Supervision of Trustees and Fund raisers for Charitable Purposes Act and other statutes. The Investigative Auditor (Supervisor) is a resource for the attorneys and the Registry of Charities and Fundraisers for accounting, reporting and related issues and helps analyze complaints, referrals and filings to assess whether further investigation is appropriate.
Night Auditor Courtyard FolsomNight AuditorFolsom, CaliforniaCompensation Type: Hourly Highgate Hotels: Highgate is a leading real estate investment and hospitality management company with over $15 billion of assets under management and a global portfolio of more than 400 hotels spanning North America, Europe, the Caribbean, and Latin America. He/she is also responsible for effectively communicating concerns and/or related issues to all levels of management and performing guest service agent duties as required, including check-in, check-out, switchboard operation and reservations.
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.
Overnight Security/ Night Auditor Hilton Garden Inn San Jose AirportOvernight Security/ Night AuditorSan Jose, CaliforniaAs a Night Auditor/Security Officer, you will work overnight to oversee hotel operations, ensuring both financial accuracy and a safe, secure environment for guests and team members. We operate over 75 hotels in 20+ states for some of the Nation’s largest REIT’s and private real estate owners, in addition to a large portfolio of individual and family-owned hotels.
Night Auditor (PT) - Front Desk Operations PEREGRINE TRUCKEE MANAGEMENT LLCNight Auditor (PT) - Front Desk OperationsTruckee, CA$21 / hourPart timeRequires grasping, writing, standing, sitting, walking, repetitive motions, bending, climbing, listening and hearing ability and visual acuity. Responsible for the overnight operations of the Hotel, verifying the accuracy of guest accounts, balancing charges and revenues, as well as assisting with all aspects of guest services and safety.
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.
Auditor Contact Government Services LLCAuditorLos Angeles, CACGS 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. • Perform ancillary investigation-related services in support of assigned cases, including: • Developing, coordinating, and issuing draft technical audit guidelines and instructions applicable to financial audits and investigations.
Income Auditor - Mammoth Mountain Alterra Mountain CompanyIncome Auditor - Mammoth MountainMammoth Lakes, CA$18.27–$21.15 / hourAlterra Mountain Company is a family of iconic year-round mountain destinations, the worlds largest heli-skiing operation, and Ikon Pass - the premier ski and snowboard season pass offering access to more than 50 iconic mountain destinations around the world. Hybrid workplace policy encouraging regular in-person collaboration in our dog-friendly company headquarters office located in Denvers RiNo Art District neighborhood (for eligible employees).
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.
Night Auditor Property ManagementNight AuditorPaso Robles, California$18–$19 / hourWhile performing audit duties, the Night Auditor also assists guests with check-ins and check-outs, processes reservations, and responds to guest inquiries, ensuring a high level of service throughout the overnight shift. The Night Auditor is responsible for completing all nightly audit functions while delivering exceptional guest service at the hotel’s front desk.
3rd Shift Order Selector/Auditor Vallarta Supermarkets Inc3rd Shift Order Selector/AuditorSylmar, CA$24.25–$27.75 / hourThe RPI 3rd Shift (8:00 PM - 4:00 AM) Order Selector/Auditor is responsible for accurately selecting orders placed by Vallarta stores, safely staging them for shipment, and auditing outbound products to minimize errors before delivery. For purposes of this notice, "Personal Information" means information that identifies, relates to, describes, is capable of being associated with, or could reasonably be linked, directly or indirectly, with a particular California resident or household, or as otherwise defined under the CCPA/CPRA, including consumers, employees, and job applicants.
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.
Senior Auditor Contact Government Services LLCSenior 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.