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.
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.
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.
Quality Auditor PerformixQuality AuditorCosta Mesa, CaliforniaThe Quality Auditor performs in-process inspections, final product audits, shipping validations, and process compliance reviews while partnering with Operations, Manufacturing, Engineering, Continuous Improvement, and Supply Chain teams to drive quality excellence. This role supports quality activities across warehousing and logistics operations, panel board manufacturing, and the production line responsible for equipment dismantling and rework activities.
Aerospace Management Systems Auditor Environmental & OccupationalAerospace 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.
NewINVESTIGATIVE AUDITOR III, DEPARTMENT OF JUSTICE State Of CaliforniaINVESTIGATIVE AUDITOR III, DEPARTMENT OF JUSTICELos Angeles, CA$6,646–$8,740The Bureau of Gambling Control is looking for talented and motivated Investigative Auditors to travel throughout the state performing on-site evaluations of financial records of gambling establishments including, but not limited to: Reviews of gambling establishment's internal control systems, cage accountability, revenue determination, credit policies, player bank and chip liability, accounts/vendors payable, taxes, personnel/payroll, purchasing/contracts and compliance procedures. The Investigative Auditor III (IA III) works under the general supervision of the Investigative Auditor IV (Supervisor) and conducts complex audit assignments and financial investigations, such as: Reviews and analyzes documents such as financial statements, general ledgers, subsidiary ledgers, Security Exchange Commission reports, bank statements, income tax returns and other documents.
Clin 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.
Facility Outpatient Surgical and Claims Edit Auditor (Remote) Cedars-Sinai Medical CenterFacility Outpatient Surgical and Claims Edit Auditor (Remote)Los 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.
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.
PB Surgical Auditor Cedars-Sinai Medical CenterPB Surgical AuditorLos Angeles, CAMaintains 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.
Associate - Payroll Auditor Miller Kaplan Arase LLPAssociate - Payroll AuditorBurbank, CA$55,000–$62,500 / yearJob Summary: The Associate in the Payroll Compliance Department is responsible for analyzing and reviewing payroll, tax, personnel records, and other various company records to determine employer compliance with collective bargaining agreements. For existing agreements, a role must be approved by the People & Culture department in writing and open to external search; otherwise, submittals and referrals will be considered Miller Kaplan property and not subject to fees.
Auditor, Support Center Quality - Remote (Bilingual Spanish) Molina Healthcare IncAuditor, Support Center Quality - Remote (Bilingual Spanish)CARemoteAt least 2 years of progressive work experience in quality assurance/auditing, call center, and/or customer service experience in a fast-paced/high-volume environment, or equivalent combination of relevant education and experience. Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and customers.
Experienced or Senior Internal Quality Auditor (Level 3 or 4) The Boeing CoExperienced or Senior Internal Quality Auditor (Level 3 or 4)El Segundo, CA$88,400–$138,000 / yearThe Boeing Company also provides eligible employees with an opportunity to enroll in a variety of benefit programs, generally including health insurance, flexible spending accounts, health savings accounts, retirement savings plans, life and disability insurance programs, and a number of programs that provide for both paid and unpaid time away from work. Drug Free Workplace: Boeing is a Drug Free Workplace where post offer applicants and employees are subject to testing for marijuana, cocaine, opioids, amphetamines, PCP, and alcohol when criteria is met as outlined in our policies.
Utilization Management Nurse Auditor UCLA Health SystemUtilization Management Nurse AuditorLos Angeles, CA$98,200–$214,600 / yearAs the Utilization Management Nurse Auditor, you will conduct concurrent and retrospective case reviews, support denial appeals, analyze utilization and denial trends, and collaborate with Care Coordination, Clinical Documentation Integrity, Revenue Cycle, and Physician Advisor teams. Prepare clinical summaries and supporting documentation for first- and second-level appeals, support payer, RAC, and Medi-Cal audit responses, and collaborate with Revenue Cycle and Physician Advisor teams to strengthen appeal strategies.
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.
QA Auditor Avid Bioservices IncQA AuditorTustin, CA$103,200–$129,000 / yearYour Role: As an individual contributor, performs a wide variety of activities to ensure compliance with applicable quality and regulatory requirements by conducting internal and external audits, data and documentation reviews and analysis. Avid Bioservices is a leading clinical and commercial biologics CDMO focused on creating innovative solutions to meet the needs of our clients and improve patient outcomes.
NewUtilization Management Nurse Auditor University of CaliforniaUtilization Management Nurse AuditorLos Angeles, CA$98,200–$214,600 / yearAs the Utilization Management Nurse Auditor, you will conduct concurrent and retrospective case reviews, support denial appeals, analyze utilization and denial trends, and collaborate with Care Coordination, Clinical Documentation Integrity, Revenue Cycle, and Physician Advisor teams. Prepare clinical summaries and supporting documentation for first- and second-level appeals, support payer, RAC, and Medi-Cal audit responses, and collaborate with Revenue Cycle and Physician Advisor teams to strengthen appeal strategies.
Principal/Sr. Principal Auditor Northrop Grumman CorpPrincipal/Sr. Principal AuditorRedondo Beach, CA$94,200–$141,200 / yearThe above functions are audited by performing the following activities: Analyzing functional and financial data either provided by programs under audit or by retrieving from various systems and repositories to validate performance against company/divisions/ subsidiaries objectives goals and reported results, compliance to policies, procedures and relevant regulatory requirements. Basic Qualifications: Education and experience requirements to be considered at the Principal (03) level: Bachelor''s degree in Business, Finance, Accounting, Supply Chain, Operations, Engineering, Quality, or related field with 6 years of relevant work experience; OR a Master''s degree in said disciplines with 4 years of relevant work experience.
Senior Auditor ($100,700.00 - $129,300.00) The Irvine Company LLCSenior Auditor ($100,700.00 - $129,300.00)Irvine, CA$100,700–$129,300 / yearPreferred Years of Relevant Work Experience: 2+ years in public accounting or equivalent auditing experience (Big Four/national firm preferred), with commercial real estate or residential property management background. This role is responsible for executing audit testing and reviews specifically focusing on Apartment Processes, Information Technology General Controls (ITGCs), and various operational audits.
NewSenior Auditor County of OrangeSenior AuditorSanta Ana, CA$84,281.60–$113,443.20 / yearGraduation from college with a BA degree in accounting or closely related field to have included twenty-four (24) semester or equivalent quarter units in accounting subjects (i.e. accounting, auditing, financial reporting, and financial statement analysis) AND two (2) years of professional accounting and/or auditing experience, which demonstrates possession of the knowledge and abilities listed. Experience planning and conducting complex audit and advisory engagements, identifying key risks and controls, monitoring project plans to ensure delivery in accordance with agreed timelines, and preparing/reviewing workpapers for accuracy and completeness.