Revenue Cycle Auditor RN -Remote Providence Health & ServicesRevenue Cycle Auditor RN -RemoteCalifornia, CARemoteRequsition ID: 428089 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: 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. 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.
Pharmacy Part D Auditor Clever Care Health PlanPharmacy Part D AuditorHuntington Beach, CAThe 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. Validate MTM targeting criteria, Comprehensive and Targeted Medication Review (CMR/TMR) completion, and annual CMS submission/attestation compliance under §423.153 and current year guidance.
Risk Adjustment Coding Auditor Clever Care Health PlanRisk Adjustment Coding AuditorHuntington Beach, CAThe 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.
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.
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.
NewMedical 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 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, Head FT - Embassy Suites - LAX South Hilton Worldwide Holdings IncNight Auditor, Head FT - Embassy Suites - LAX SouthEl Segundo, CAGuest Services: Perform all Guest Service Agent duties during the overnight shift, including guest check-ins, check-outs, and addressing inquiries. At Hilton, our core values define what it takes to succeed here and guide the qualities we look for in every team member: Hospitality: A passion for spreading the light and warmth of hospitality.
DRGV Auditor II R1 RCM IncDRGV Auditor IICA$52,025–$97,528.69 / yearWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law.
Part-Time Night Auditor Lodging Dynamics Hospitality GroupPart-Time Night AuditorAnaheim, CAThis mission focuses on elevating human dignity by providing exceptional services and opportunities to our employees, guests, and investors. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Outpatient Auditor III - Remote Certified ExlService Holdings IncOutpatient Auditor III - Remote CertifiedCARemote$70,000–$90,000 / yearAs a Remote Certified Outpatient Facility Auditor, you will apply your in‑depth knowledge of CPT/HCPCS coding, APC payment methodologies, and outpatient regulatory guidelines to audit UB‑04 facility claims only, ensuring accurate APC assignment, proper packaging, and compliant facility billing. Stay current on annual APC updates, OPPS rule changes, CMS transmittals, Perform detailed hospital outpatient facility audits with a strong focus on APC assignment, payment status indicators, revenue code alignment, and OPPS reimbursement logic.
NewSUPERVISING AUDITOR I, DEPARTMENT OF REAL ESTATE State Of CaliforniaSUPERVISING AUDITOR I, DEPARTMENT OF REAL ESTATELos Angeles, CA$7,530–$9,823Applicants who do not submit the required items timely may not be considered for this job: Current version of the State Examination/Employment Application STD Form 678 (when not applying electronically), or the Electronic State Employment Application through your Applicant Account at www. Dates printed on Mobile Bar Codes, such as the Quick Response (QR) Codes available at the USPS, are not considered Postmark dates for the purpose of determining timely filing of an application.
Delegation Oversight Clinical Auditor RN II L.A. Care Health PlanDelegation Oversight Clinical Auditor RN IILos Angeles, CAThis position assist in maintaining continuous quality improvement in the Delegation Oversight Clinical Audit unit ensuring that departmental/divisional and organizational goals are accomplished through overseeing and facilitating compliance of the Plan Partners, Participating Provider Groups (PPG), Specialty Health Plans (SHP), and contracted provider network as managed by the Delegation Oversight Department. The position also acts as a liaison between the Plan Partners, PPGs and Vendors regarding Utilization Management (UM) issues; assists in improving access and utilization performance of PPGs by being a resource for best practice and providing continuous performance feedback.
Quality Assurance Auditor Encore Aerospace LLCQuality Assurance AuditorHuntington Beach, CAThis role covers business processes, including management and product realization processes, manufacturing processes, and specialized audits such as Repair Station, Digital Product Definition, and Supply Chain audits. The ideal candidate will be highly knowledgeable in Quality Management Systems, experienced in developing audit tools and reports, and capable of leading a team of auditors.
Diagnosis Related Group (DRG) Readmission Auditor ExlService Holdings IncDiagnosis Related Group (DRG) Readmission AuditorCARemote$70,000–$110,000 / yearFor positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process. Final offers are based on several factors, including the candidate''s skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position.
Junior Compliance Officer/Auditor SGI Global, LLCJunior Compliance Officer/AuditorLos Angeles, CAAssist with drafting audit reports and associated administrative fine paperwork to support the issuance of Notices of Intent to Fine, Final Orders, Warning Notices and other related documentation for HSI audits related to the employment eligibility verification process. The role assists in reviewing employment eligibility documentation, conducting database research, and preparing audit-ready case files and reports that support administrative enforcement actions and related determinations.
Night Auditor The Biltmore Los AngelesNight AuditorLos Angeles, CaliforniaAs part of Millennium Hotels & Resorts, a global hospitality leader with over 145 hotels across key destinations worldwide, our hotel is backed by a legacy of quality, consistency, and service excellence—driven by a passion for hospitality, an entrepreneurial spirit, innovation, and a progressive, solutions-oriented approach.". Located in the heart of downtown Los Angeles, this historic landmark hotel is known for its iconic architecture, grand ballrooms, and legacy of hosting world-class events.
INDEPENDENT CONTRACTOR - Collision Center Auditor On the Safe SideINDEPENDENT CONTRACTOR - Collision Center AuditorLos Angeles, CaliforniaThe following skills and attributes are preferred for the INDEPENDENT CONTRACTOR Collision Center Auditor : Experience in the collision center and/or mechanical service center industry; collision center management; independent insurance appraisals; or a working knowledge of automotive collision, parts, and service operations. DEKRA is one of the world’s leading testing, inspection, and certification (TIC) companies offering innovative professional services in the fields of vehicle inspection, automotive expertise, expert appraisals, industrial product testing & certification, management system certifications, leadership consulting, and much more.
Night Auditor InterContinental Hotels Group PlcNight AuditorLos Angeles, CASo, we're looking for a Night Auditor to provide customer service support, balance the books and perform other essential accounting tasks to help us stay one step ahead of tomorrow during our late-night shifts. From a competitive salary that rewards all your hard work to a wide range of benefits designed to help you live your best work life - including a full uniform, impressive room discounts and some of the best training in the business.
Auditor II University of CaliforniaAuditor IILos Angeles, CAThe "Jeanne Clery Campus Safety Act" requires UCLA (as an institution of higher education receiving federal financial aid) to report specified crime statistics on college campuses and to provide other safety and crime information to all current and prospective students and employees. If you would like a paper copy of the report, you may contact the Clery Coordinator via email at clery@compliance.ucla.edu or by phone at (310) 893-9147.