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.
Sr Internal Auditor Freeman Decorating Services, Inc.Sr Internal AuditorLos Angeles, 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.
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.
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 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.
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.
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.
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.
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).
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.
Quality Auditor AeroVironment IncQuality AuditorMoorpark, CA$89,000–$126,000 / yearPreferred Certifications: ASQ Certified Quality Engineer (CQE) or ASQ Certified Quality Manager (CQM); Lean Six Sigma Black Belt or Master Black Belt; Project Management Professional (PMP); Certified Lead Auditor for AS9100/ISO 9001. In order to comply with the requirements of the ITAR and/or the EAR, applicants must qualify as a U.S. person under the ITAR and the EAR, or a person to be approved for an export license by the governing agency whose technology comes under its jurisdiction.
Senior Internal Auditor - Phoenix, AZ The Cheesecake Factory IncSenior Internal Auditor - Phoenix, AZCA$90,000–$100,000 / yearAs the Senior Internal Auditor, you will work closely with the Senior Manager, Internal Audit and Manager, Internal Audit to support The Cheesecake Factory Inc.'s SOX compliance program, including completing all assigned SOX testing, ensuring timely completion, and proactively monitoring deadlines and milestones. You will also identify and evaluate operational efficiencies, process improvements and control enhancements as part of audit engagements and advisory work, develop and maintain effective working relationships with process owners, including Corporate, Fox Restaurant Concepts, and Bakery operations, to facilitate audit activities and drive successful outcomes.
Senior Internal Auditor - Calabasas, CA The Cheesecake Factory IncSenior Internal Auditor - Calabasas, CACA$105,000–$115,000 / yearAs the Senior Internal Auditor, you will work closely with the Senior Manager, Internal Audit and Manager, Internal Audit to support The Cheesecake Factory Inc.'s SOX compliance program, including completing all assigned SOX testing, ensuring timely completion, and proactively monitoring deadlines and milestones. You will also identify and evaluate operational efficiencies, process improvements and control enhancements as part of audit engagements and advisory work, develop and maintain effective working relationships with process owners, including Corporate, Fox Restaurant Concepts, and Bakery operations, to facilitate audit activities and drive successful outcomes.
Senior Auditor East West Bancorp IncSenior AuditorPasadena, 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.
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.
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.
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.
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.
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.
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.
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.
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 Internal Auditor (General Audit) TikTok IncSenior Internal Auditor (General Audit)Los Angeles, CATeam Introduction: The 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.
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.
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.
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.
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.
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.
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.
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.
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.
New3rd Shift Order Selector/Auditor Roxford Produce International3rd 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. Order Selectors/Auditors ensure orders are built, shrink-wrapped, labeled, and staged correctly while performing full audits or spot checks.
Night Auditor Hyatt Hotels CorpNight AuditorHollywood, CAOur differences are what make us great: At Crescent Hotels & Resorts we strive to create a great place to work where associates at all levels of our organization are respected for their differences, just like the guests and owners we serve. Share Night Auditor on LinkedIn Tweet Night Auditor Share Night Auditor on Facebook Share Night Auditor via Email.
Facility Inpatient Surgical and Claims Edit Auditor Cedars-Sinai Medical CenterFacility Inpatient Surgical and Claims Edit AuditorLos Angeles, CARemote$44.98–$71.97 / hourCountry Code+1+1242+1246+1264+1268+1284+1340+1441+1473+1649+1664+1670+1671+1684+1758+1767+1784+1849+1868+1869+1876+1939+20+211+212+213+216+218+220+221+222+223+224+225+226+227+228+229+230+231+232+233+234+235+236+237+238+239+240+241+242+243+244+245+248+249+250+251+252+253+254+255+256+257+258+261+262+264+265+266+267+268+269+27+290+291+297+298+299+30+31+32+33+34+345+350+351+352+353+354+355+356+357+358+359+36+370+371+372+373+374+375+376+377+378+379+380+381+382+385+386+387+389+39+40+41+420+421+423+43+44+45+46+47+48+49+500+501+502+503+504+505+506+507+508+509+51+52+53+54+55+56+57+58+590+591+593+594+595+596+597+598+599+60+61+62+63+64+65+66+670+672+673+674+675+676+677+678+679+680+681+682+683+685+686+687+688+689+690+692+7+77+81+82+84+850+852+853+855+856+86+872+880+886+90+91+92+93+94+95+960+961+962+963+964+965+966+967+968+970+971+972+973+974+975+976+977+98+992+993+994+995+996+998Phone Number. Req ID 15469 Working Title Facility Inpatient Surgical and Claims Edit Auditor Department CSRC Coding Audit Business Entity Cedars-Sinai Medical Center Job Category Patient Financial Services Job Specialty Revenue Integrity Overtime Status NONEXEMPT Primary Shift Day Shift Duration 8 hour Base Pay $44.98 - $71.97.
Inventory Auditor Adex CorporationInventory AuditorLos Angeles, CA$17.50 / hourThe Project Manager will assign the Auditor to count in specific areas using a location identifier "BLID, the Auditor will capture the BLID and associate the customer location Name. Auditors will work in warehouses, storerooms, clean rooms, and sterile environments where waring hospitals provide scrubs, and related protective gear when required.
MRA Coding Auditor - Remote Alignment Healthcare IncMRA Coding Auditor - RemoteCARemote$64,384–$96,577 / yearEffective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution. This work may encompass reviews of data for reconciliation, data flow integrity, UAT testing, high cost / low risk score members, retrospective chart reviews, or other risk adjustment related data review as directed by Manager.
Auditor, Delegate Claims Alignment Healthcare IncAuditor, Delegate ClaimsCA$70,823–$106,234 / yearThe Auditor also helps maintain productive working relationships with delegated provider organizations by facilitating clear communication during the audit process, supporting the development of Corrective Action Plans, and verifying that corrective actions are completed in accordance with audit outcomes and regulatory requirements. Prior Medicare Managed Care claims experience related to delegation oversight and auditing.1-2 years minimum experience conducting oversight audits of delegated entities and/or ancillary providersDemonstrable detailed knowledge/experience with CMS claims compliance reporting - Part C, ODAG, Monthly Timeliness, etc.
Risk Adjustment Compliance Auditor (Remote) Alignment Healthcare IncRisk Adjustment Compliance Auditor (Remote)CARemote$64,384–$96,577 / yearEffective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly. Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.