Senior Health Claims Auditor - Remote
Astrana Health
Monterey Park, CA
- Remote job
Astrana Health in Monterey Park, CA is seeking a Senior Claims Auditor to join our Ops - Claims Ops team. You will analyze and audit health plan claims, ensure documentation compliance, and support CMS/DMHC guideline adherence across audits. Collaboration with multiple departments will be essential to identify root causes and improvements. Ideal candidates have 2+ years as a Medical Claims Auditor and 5 years examining claims, with strong Excel skills. #J-18808-Ljbffr Astrana Health
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Senior Health Claims Auditor - Remote in Monterey Park, CA vacancy
- Oscar Health Insurance is seeking a Senior Analyst, SIU Clinical Investigator to detect and audit aberrant billing patterns in claims and clinical documentation. You will review medical records... ...recovery or referrals. This is a remote role with NYC/Tempe office options...Remote jobSeniorClaimsWork at office
- Overview Remote or Onsite Opportunity!Opportunities... ..., and builds with your seniority Free money toward... ...Responsibilities The Senior Auditor oversees and performs... ...of Community Care Health (CCH). Designs and prepares... ...cycle, cost reporting, claims, provider data, health...Remote workSeniorClaims
- ...comprehensive Medical Loss Ratio (MLR) examinations remotely, the full-time Senior Compliance Auditor will analyze documentation, perform attribute testing... ...rebate distributions Perform testing of premium and claims transactions for accuracy and completeness related to...Remote workSeniorClaimsFull time
Virtual Vocations Inc
United States3 days ago - ...Commissary Agency (DeCA) Headquarters in Fort Lee, NJ seeks a senior auditor to plan, execute, and report on complex audits of government programs... .... Telework is available; transcripts may be required for education claims. #J-18808-Ljbffr United-States-Department-of-DefenseRemote jobSeniorClaims
$28k
...Senior Premium Auditor (Workers' Compensation) | 100% Remote Opportunity General Summary Under minimal supervision, determine the premium base... ...classifications as appropriate. Analyze and review claims to verify employment, proper classification coding...Remote workSeniorClaimsWork from homeEmployers
United States2 days ago- ...Senior Auditor We are seeking an experienced Senior Auditor to support ITC Federal's work for... ...support (ALS) program. This is a fully remote position supporting DOJ's complex litigation... ...- for example, Medicare billing and claims systems, or DoD inventory systems. Extensive...Remote workSeniorClaimsFull timeContract workInterim roleWork from homeHome office
ITC Federal
United States1 day ago - ...Senior Auditor Employment Type: Full Time, Mid-level CGS is seeking a Senior Auditor who... ...district legal staff by conducting medical claims data analysis, forensic investigations,... ..., litigation consulting, and/or health care fraud analysis required. The resume...Remote workSeniorClaimsFull timeFlexible hours
Contact Government Services LLC
Detroit, MI1 day ago - ...Job Title Healthcare Compliance Auditor Job Description This position reports to... ...used for coding and billing for medical claims. Knowledge of medical terminology, disease... ...Coding Specialist (CCS) through American Health Information Management Association (AHIMA...Remote jobSeniorClaimsWork experience placementWork at office
- Tokio Marine HCC in the United States is seeking a claims liability investigator to assess liability on health and excess insurance claims under established policies. Under supervision, you will review plans, audit documents, set reserves, and communicate with TPAs and...Remote jobClaims
$95k - $105k
...the University of Virginia (UVA) seeks applications for a Senior Auditor for its UVA Health team. The Office of Audit and Compliance assists UVA’s... ...additional on-site presence as needed, in accordance with UVA’s remote work guidelines.About UVA and the CommunityTo learn more...Remote workSeniorWork at office- ...UC San Diego Health's Revenue Cycle department is seeking a skilled medical coder to perform... ...services. This role supports accurate claims and reduces edits. Qualified candidates... ...and strong CPT/HCPCS/ICD-10 knowledge. Remote work options may be available depending on...Remote workSeniorClaims
DaMar Staffing
United States4 days ago $70k - $83k
A leading healthcare organization is seeking a highly motivated Senior Claims Auditor in Monterey Park, CA. This role involves auditing health plan claims, ensuring compliance with CMS regulations, and collaborating with various departments. Ideal candidates will possess...SeniorClaims- ...Magellan Health seeks a Senior Director, Underwriting/Pricing to lead a team and partner with Finance... ...Responsibilities include analyzing claims data, developing cost-of-care projections... ...propose rate structures. The position is remote with competitive compensation and...Remote workSeniorClaims
Magellan Health
United States1 day ago - Allegheny Health Network is seeking a Senior Coding Auditor to evaluate medical records for DRG, OPPS and outpatient claim accuracy. You will report findings verbally and in writing, and guide education, process changes and risk reduction across the system. The role involves...SeniorClaims
- ...throughout the Chubb organization. This Senior Auditor position offers an opportunity to join a... ...and advisory projects for underwriting, claims, and other critical operational areas/... ..., personal accident and supplemental health insurance, reinsurance, and life insurance...SeniorClaimsFull timeTemporary workLocal area
Chubb
Philadelphia, PA1 day ago - ...Apply Refer a Friend Back Remote Work from Home Share This... ...72269 Location: Johns Hopkins Health Plans, Hanover, MD 21076... ...Department Director, the Vendor Auditor is responsible for independently conducting claims and vendor performance audits to...Remote workClaimsFull timeLocal areaWork from homeDay shift
Johns Hopkins Medicine
Hanover, MD1 day ago - Kaiser Permanente in Portland, OR is seeking an experienced coder for a documentation review and coding position focused on accurate claim submission and regulatory compliance. The role requires two years in healthcare, with at least one year of professional coding...SeniorClaims
- ...Job Description Consociate Health, a leading Third-Party Administrator, offers an opportunity to grow and develop your career... ...with our team and our clients. Position Summary: The Claims Auditor position reports to the Chief Administrative Officer. This position...Remote workClaimsContract workTemporary workImmediate start
Consociate
United States3 days ago - The Financial Compliance Auditor III Claims at L.A. Care Health Plan audits claims processed by delegated groups and contracted plans, ensuring compliance with federal and state regulations and contract terms. You will test and report on timeliness and accuracy, and mentor...SeniorClaimsContract work
- ...Coding Auditor Department: SIU Employment Type: Full Time... ...routine coding reviews to ensure health records align accurately with... ...procedures and codes billed on a claim to a medical record.... ...career development initiatives ~ Remote work eligible REMOTE WORK...Remote workClaimsHourly payFull timeFlexible hours
Healthcare Fraud Shield
United States1 day ago $31.2 - $40.56 per hour
...Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians... .... Create consistency and efficiency in outpatient or inpatient claims processing and data collection to optimize APC, ASC or DRG...Remote workClaimsLocal areaStryker
United States1 day ago- ...fulfill its mission to inspire health and make it easy. AZ Blue... ...classified as hybrid, onsite or remote. While the majority of our employees... ...limited to: Customer Service, Claims Processors, and Correspondence... ...Quality Assurance Coder/Auditor will develop a risk mitigation...Remote workClaimsFull timeWork at office1 day per week
Blue Cross Blue Shield of Arizona
Phoenix, AZ2 days ago $46.99k - $122.4k
...Program Integrity Auditor We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience... ...education, recoupment of funds or rebilling of claims, and referral to state regulators for any suspected...Remote workClaimsHourly payFull timeMonday to FridayFlexible hoursOak St. Health
United States4 days ago$30.46 - $45.69 per hour
Billing Compliance, Senior Auditor Hourly Pay Range: $30.46 - $45.69 Location... ...: Hybrid (Evanston, IL and remote) Hours: Monday‑Friday, during... ..., including interviews, claim reviews, control assessments,... ...Wellness program. Savings plan. Health Savings Account options. Retirement...Remote workSeniorClaimsHourly payFor contractorsMonday to Friday- ...Senior Auditor At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and... ...healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions...Remote workSeniorTemporary workFlexible hours
Medtronic Plc
United States1 day ago - The Elevance Health Company seeks a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims for all lines of business. You will apply advanced ICD-10 coding principles and DRG logic to substantiate conclusions and ensure accurate...Remote jobClaims
$86.8k - $112.9k
...Responsibilities The Senior Internal Auditor will participate in planning, execution and reporting... ...and social support at PACE Adult Day Health Centers. These centers are staffed by... ...If you receive a message claiming to represent InnovAge that does not align...Remote workSeniorClaimsTemporary workLocal areaWork from homeFlexible hoursInnovAge
United States2 days ago- A leading academic health system in the United States is seeking an AUDIT PROFESSIONAL 3 to support its mission in delivering outstanding patient care through remote auditing and coding compliance. Your role will require extensive experience in auditing within a large...Remote jobSenior
- ...TEEMA Solutions Group is seeking a Senior Clinical Coder for a fully remote opportunity focused on inpatient facility coding and DRG validation. You will... ...support clinical operations teams in complex medical claims reviews and ensure coding accuracy. The ideal candidate...Remote workSeniorClaimsPermanent employment
TEEMA Solutions Group
Sarasota, FL2 days ago - 1100 Endeavor Health Clinical Operations is seeking a Senior Auditor for Billing Compliance to conduct audits and ensure regulatory adherence. This hybrid role is based in Evanston, Illinois, and requires a Bachelor's degree along with specialized certifications. The ideal...Remote jobSenior
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Health Claims Auditor - Remote. Be the first to apply!
Related searches
- medical claims auditor Monterey Park, CA
- senior manager legal Monterey Park, CA
- senior manager tax Monterey Park, CA
- senior construction accountant Monterey Park, CA
- senior implementation project manager Monterey Park, CA
- sr. financial reporting accountant Monterey Park, CA
- senior payroll accountant Monterey Park, CA
- senior manager pmo Monterey Park, CA
- senior manager accenture Monterey Park, CA
- senior accountant work from home Monterey Park, CA