- LA Care Health Plan (Los Angeles, CA)
- Claims Quality Auditor II Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: ... residents and to support the safety net required to achieve that purpose. Job Summary The Claims Quality Auditor II works closely with the Claims … more
- City and County of San Francisco (San Francisco, CA)
- …effective operations within the Commission. Auditors also play a key role in reviewing claims for public financing to ensure that City funds are only distributed to ... Qualifications + Professional certification as a Certified Public Accountant, Certified Internal Auditor , or Certified Fraud Examiner. + A Master's degree in public… more
- Hackensack Meridian Health (Hackensack, NJ)
- …a leader of positive change. The **Ambulatory Payment Classification (APC) Auditor ** performs all related internal, concurrent, prospective and retrospective coding ... Hackensack Meridian Health (HMH) network. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to APC's, ICD… more
- Ventura County (Ventura, CA)
- …proficiency levels by exam are $.69 per hour (Level I), $1.00 per hour (Level II ), or $1.32 per hour (Level III). + Flexible Workweek/Telework Schedule - We support ... Ventura County's beauty and weather combined with a wonderful quality of life are among the many reasons our...in assigned program area. + Receives, reviews and verifies claims , invoices, and payroll documents for authorization of expenditures,… more
- State of Massachusetts (Boston, MA)
- …integrity solutions to achieve the agency's dual priorities of maintaining high- quality member care and controlling spending growth. This includes new approaches ... federal entities such as the Centers for Medicare and Medicaid Services, State Auditor 's Office, and Office of Inspector General. The position requires a combination… more