Healthcare Compliance Auditor & Coder
Community Reach Center
Community Reach Center in California is seeking an Audit and Coding Specialist to enhance mental health outcomes through compliance audits and quality assurance functions. This role requires a Bachelor's degree and a minimum of two years in healthcare auditing, as well as certifications in coding. Join a compassionate team dedicated to improving community health while enjoying benefits like competitive pay, health insurance, and wellness programs. #J-18808-Ljbffr Community Reach Center
$29.05 - $56.64 per hour
...Job Title Provides support for healthcare services clinical auditing activities. Job Description Performs audits for clinical... ...in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy...SuggestedHourly payFull timeWork experience placementWork at office- ...Job Title Provides support for healthcare services clinical auditing activities. Job Summary Performs audits for clinical functional... ...in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching...SuggestedContract workWork at office
$80k - $90k
...Care Management And Population Health Auditor Huntington Beach Office - Huntington Beach... ...make a lasting impact and transform the healthcare space? We are one of Southern California... ..., and MOC outcome measures for Compliance and the Board. Qualifications Required...SuggestedFull timeWork at officeRemote work- ...can’t, and we’re looking for more than just a resume—we’re looking for you. ERN in the news: The Mission Our Healthcare Claims Compliance Auditors are warriors for justice in Revenue Cycle Management. You’ll analyze unfair trends, initiate corrective actions,...SuggestedHourly pay
$80k - $90k
...Pharmacy Part D Auditor Huntington Beach Office - Huntington Beach, CA 92647 Overview... ...make a lasting impact and transform the healthcare space? We are one of Southern California... ...and monitoring of Part D clinical compliance: CDAG (coverage determinations, exceptions...SuggestedFull timeWork at officeRemote work- ...Job Description Job Description Operations & Compliance Auditor Healthcare is increasingly unaffordable for many Americans. For those who can afford it, they are in a health insurance system that has become more confusing, restrictive, and lower value with each...Hourly pay
$80k - $90k
Clever Care Health Plan is seeking a Pharmacy Part D Oversight Auditor based in Huntington Beach, CA. The role involves auditing Part D clinical compliance and ensuring documentation is audit-ready. Candidates should have a strong pharmacy background and a minimum of 3...Full time- ...investigations, and regulatory reviews in order to meet oversight and compliance requirements. Provides audit support for contractual and... ...and experience. Working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid...Contract workWork at office
- ...Cerritos, California. This role involves supervising a team of auditors, ensuring that audits adhere to established standards and... ...contribute to recruitment processes. A strong background in regulatory compliance and audit management is essential, with the ability to utilize...
$80k - $90k
...Health Plan is seeking a Care Management & Population Health Auditor in Huntington Beach, California. The role requires a Bachelor'... ...between $80,000 and $90,000. Join us to make a difference in the healthcare industry while supporting diverse communities and promoting...Remote job- ...s) they support. Identifies risk and non-compliance, issues corrective action, and actively manages... ...Nurse (LVN), Certified Clinical Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified Professional in Healthcare Management (CPHM) and/or other health care...Work at office
$600 per day
...Job Description Job Description Job Title: Dental Auditor Department: Quality Management (QM) Position Type: Full-time... ...Summary The Dental Auditor ensures clinical quality, regulatory compliance.. This role conducts clinical audits and reviews, identifies risks...Full timeWork at officeMonday to Friday- ...commitment to driving impactful audit projects. The ideal candidate will have at least 8 years of experience with a strong focus on compliance and operational audits. Key benefits include a vehicle lease allowance, comprehensive insurance, and education reimbursement...
- ...well-established manufacturing company seeks a Senior Internal Auditor to join their dynamic team. The Senior Internal Auditor,... ...planning, execution, and reporting of operational, financial, and compliance audits across the organization. This responsibility includes...
$150k - $165k
Jobot is seeking a VP Audit Manager in Seal Beach, California, to oversee the corporate audit function focused on Credit Risk Management and Enterprise Risk Management. The role involves leading risk assessments and managing internal audits, ensuring effective executive...$126k - $138k
BiVACOR Inc in Huntington Beach, California is looking for an experienced QMS Internal Auditor who will play a crucial role in ensuring quality standards and regulatory compliance for our life-saving artificial heart technology. This position requires strong expertise...- ...Auditor Position Purpose: Provides audit services at the OC Fair. Ensures accuracy and efficiency while auditing concessions sales reporting, sales and management procedures. This is a seasonal/temporary position not to exceed 122 days. Essential Functions:...Temporary workSeasonal work
$100k - $120k
Nikkiso Cryogenic Industries is looking for a Senior Internal Auditor based in Huntington Beach, CA. This role involves planning, executing... ...audit scopes, communicating findings, and participating in compliance initiatives. The salary range is $100,000 to $120,000 annually...- ...audit/investigation, as needed. Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements. Applies functional knowledge to create and implement strategies to identify and...Work experience placementRemote work
$172k - $250k
...Thornton is seeking a Director of Information Security Audit & Compliance to join the team. Approved office locations can be found below... ...audits. Act as the primary point of contact for external auditors, regulators, and client assessors. Ensure timely, high-quality...InternshipSeasonal workWork at officeLocal areaFlexible hours3 days per week$149.64k - $184.4k
...clients' Finance, Procurement, and Shared Services teams to identify duplicate payments, missed credits, overpayments, and vendor compliance issues. Develop customized audit strategies leveraging analytics, automation tools, and proprietary benchmarking data to...Work at officeImmediate start- ...records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements. Applies functional... ...updates. Assists in providing training and support to other auditors/investigators, contributing to the continuous improvement of investigative...Work experience placement
- 30% Supervise a group of professional auditors engaged in regulatory audits of entities participating in the various programs that receive funds from CalRecycle, or other State or local entities. Ensure the engagement and work is properly planned, directed, supervised,...Work at officeLocal area
- ...application controls and end-user computing controls AI and data analysis techniques preferred Healthcare and pharmacy audit experience preferred Certified Internal Auditor (CIA) and/or Certified Information Systems Auditor (CISA) preferred Hybrid This role...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week
$49.63 - $81.93 per hour
Hoag Health System is seeking a Program Manager Revenue Integrity Compliance in Costa Mesa, California. This role supports the implementation of compliance programs and requires extensive knowledge of billing, coding, and revenue cycle operations. The successful candidate...Hourly payFull time- ...Description Your Role The Internal Auditor Consultant will report to the Internal... ...Conduct financial, operational and compliance audits and provide consulting services to... ...audit experience At least 2 years of healthcare experience preferred Working knowledge...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...Your Role The Internal Auditor Consultant will report to the Internal Audit Senior Director. In this role you will be responsible... ...3 years of internal audit experience At least 2 years of healthcare experience preferred Working knowledge of AI tools, models...Work at office2 days per week
$107.8k - $154k
...WORK MODEL #LI-OnSite WHAT YOU WILL DO The Senior Manager will lead complex audit engagements across operational, compliance, and supplier areas while also independently leveraging data to uncover insights, assess risk, and drive informed decision-making...Work experience placementWork at officeLocal area$107.8k - $154k
...America (HMNA) Internal Audit team. The role is responsible for overseeing and driving complex audit projects across operational, compliance, supplier, and dealer domains while ensuring strategic alignment, quality execution, and impactful recommendations to support...Work experience placementLocal area- Qlarant is seeking an entry-level professional in Los Alamitos, California, to conduct audits and investigations of customer claims. The role requires attention to detail and analytical skills to assess claims validity and identify fraud opportunities. A Bachelor's Degree...
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