42 coding auditor jobs found in Los Angeles, CA

Job Description Job Description WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews Oversee audits...

Providence Medical Foundation is seeking a skilled Coding Auditor to support patient care billing documentation and ensure compliance with CPT/ICD guidelines and federal, state, and payor policies. You will audit coding accuracy across services and collaborate with care teams to resolve issues. Based in Santa Monica, this on-site role requires national coding certifications and several years of professional coding and physician/clinic billing experience. #J-18808-Ljbffr

Join to apply for the Compliance Coding Auditor , ATM role at Advanced Medical Management, Inc. Your actual pay will be based on your skills and experience. Talk with your recruiter to learn more. Base pay range: $75,000 to $80,000 per year. Role Overview As a member of AMM’s Compliance and Ethics team, the Compliance Coding Auditor is an important driver of our mission. They are responsible for supporting the Company’s Compliance & Ethics Program (the Program) auditing, tracking, and monitoring initiatives. Robust auditing, testing, and monitoring capabilities are essential to fulfilling the expectations of AMM’s key stakeholders, including patients, families, and government agencies. The Program is led by AMM’s Chief Compliance & Ethics Officer, who reports to the CEO and the Board, and oversees the AMM Compliance Committee. This role requires sound, risk‑aware judgment, productive collaboration across the Company, and demonstrated success in performing audits to...

A leading healthcare management firm is seeking a Compliance Coding Auditor to support its Compliance & Ethics Program. The role involves auditing and monitoring compliance in healthcare practices, ensuring accurate coding and billing processes. Candidates should have 5-10 years of relevant experience in healthcare along with necessary certifications. The position offers comprehensive benefits including a full employer-paid HMO, generous PTO, and tuition reimbursement. #J-18808-Ljbffr

This position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County. Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth. Who Are We? Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values. Why Join Us? We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation. Job Summary The Risk Adjustment Coding Auditor is responsible for conducting...

Clever Care Health Plan is hiring a Risk Adjustment Coding Auditor to conduct retrospective and prospective coding audits, validate diagnoses, and monitor CMS RADV compliance. The role focuses on HCC coding, documentation improvement, and education for providers across a fast-growing Medicare Advantage program. Candidates should have 5+ years in MA risk adjustment or related audits, with strong knowledge of ICD-10-CM guidelines and MEAT criteria. #J-18808-Ljbffr

Job Details Location: Huntington Beach Office, Huntington Beach, CA 92647. Position Type: Full Time. Salary Range: $72,800.00 – $80,000.00. This position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County. Job Summary The 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. This role reviews medical record documentation and ICD-10-CM diagnosis coding to ensure compliance with CMS Risk Adjustment program requirements, Official Coding Guidelines, AHA Coding Clinic guidance, and organizational policies. Functions & Responsibilities Conduct retrospective, prospective, and targeted coding audits to assess the accuracy, completeness, and compliance of ICD-10-CM diagnosis coding and HCC capture....

Location: Long Beach, CA/Surrounding areas (Remote, must be withing 50 miles of Long Beach or Woodland Hills, CA incase of any onsite needs) Hours: 8-5 PST Start Date: ASAP Client Overview A leading nonprofit health plan serving millions of members across commercial, Medicare, Medicaid, and individual market programs. The organization is committed to improving healthcare quality, affordability, and access through innovative care delivery models, population health initiatives, and regulatory compliance excellence. This role supports enterprise-wide risk adjustment, medical record review, and government audit activities that help ensure accurate documentation, coding integrity, and compliance with federal and state requirements. Job Description Seeking two experienced Senior Medical Review Coders to support high-priority government audit and medical record review initiatives. Responsibilities include retrospective and prospective medical record reviews, coding validation,...

Coding Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

Coding Compliance Auditor Riverside University Health System (RUHS) is seeking two skilled Coding Compliance Auditors (Administrative Services Manager I) to support the Health System's Compliance Department. Key responsibilities of this role include conducting thorough reviews of medical records to ensure compliance with coding regulations, while providing feedback and education to coders and physicians to enhance coding accuracy and documentation quality. The position involves performing annual, periodic, and focused audits of physician, inpatient, and outpatient coding as requested. It also requires effective communication with all RAC stakeholders to ensure timely and accurate responses to inquiries. Additionally, the role supports ongoing program development through training initiatives and process improvements, delivers coding presentations to diverse audiences including physicians and other staff. The ideal candidate will have at least five years of progressive experience...

Providence Health & Services is seeking a Coding Auditor to review patient care billing documentation for compliance with CPT/ICD coding guidelines and payor policies. The role supports Providence Medical Foundation in Santa Monica, CA, operating in a hybrid work environment. The ideal candidate holds multiple professional coding certifications and has at least 3 years of coding and physician billing experience, including familiarity with Microsoft Office applications. #J-18808-Ljbffr

Concentra is seeking a Coding and Compliance Specialist in Santa Clarita, CA to conduct audits and ensure adherence to coding standards. The ideal candidate will have a high school diploma and a minimum of three years of coding experience. Responsibilities include performing compliance audits, analyzing findings, and providing education and training to clinicians. This hybrid role allows for 2–3 days in the office each week. Concentra offers competitive compensation ranging from $28.81 to $33.13 per hour and benefits including a 401(k) plan, health insurance, and paid time off. #J-18808-Ljbffr

Overview At Sherman Oaks Hospital, our dedicated team of professionals are committed to our core values of quality, compassion, and community. As a member of the Prime Healthcare Foundation, Sherman Oaks Hospital is actively seeking new members to join its award-winning team! Sherman Oaks Hospital is a 153-bed, not-for-profit, acute-care community hospital located in Sherman Oaks, California. Staffed with over 500 employees and an extraordinary team of physicians, the hospital is recognized for advanced technology and compassionate care and provides 24/7 emergency care in addition to a full range of specialized medical, surgical, and diagnostic services to improve and save lives. Sherman Oaks Hospital has been nationally recognized multiple times as a "100 Top Hospital" by Fortune/Merative, holds an "A" grade in patient safety from The Leapfrog Group, Patient Safety Excellence recognition from Healthgrades, and more. For more information, visit www.shermanoakshospital.org....

Alignment Health USA, LLC is seeking a remote Risk Adjustment Compliance Auditor to support audits and compliance for CMS data submissions. You will review medical records, identify coding accuracy issues, and collaborate with Risk Adjustment leadership in a fully remote environment. Strong coding credentials and CMS knowledge are required for success. The role focuses on audit readiness, corrective action, and education for internal and provider-facing stakeholders, with a Pacific Time aligned #J-18808-Ljbffr

JOB DESCRIPTION SUMMARYPosition reports to the Supervisor Benefit Distribution & Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers’ summary plan descriptions.DUTIES AND RESPONSIBILITIESPlan CodingPlan code new business and plan changes.Verify new and existing plans loaded on the company’s claim management system against the appropriate Summary Plan Description to determine the accuracy of present and future claims payments.Respond to work orders received from examiners to investigate plan issues and irregularities.Evaluate testing requests for all new plans prior to loading them into the production system.AdministrativeKeep a detailed log of open and completed...

The Creative Audio team is seeking a Creative Coder for the Tech & Prototypes department. This role collaborates closely with Engineering and Product Design to define sound functionality and deliver advanced audio systems. It involves developing advanced audio solutions, optimizing performance, refining tools, and solving complex technical challenges. As a key contributor and leader to Meta's day-to-day sound design, the Creative Coder provides creative and technical insights to drive immersive and agentic audio experiences, offering a long runway for creativity, innovation, and empowerment to push the boundaries of sound technology and make a meaningful impact. Responsibilities Identity potential large scale opportunities within Meta and partner with design and engineering teams to deliver state of the art audio functionality, tooling and pipeline solutions • Provide audio engineering leadership to cross-functional partners, improving audio quality and automating...

Job Description Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an outstanding benefit package that includes health care, paid time off and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals. What you will be doing in this role: The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. In this role, the Coder II reviews ICD-10-CM diagnosis coding and Current Procedural Terminology (CPT)...

The Creative Audio team is seeking a Creative Coder for the Tech & Prototypes department. This role collaborates closely with Engineering and Product Design to define sound functionality and deliver advanced audio systems. It involves developing advanced audio solutions, optimizing performance, refining tools, and solving complex technical challenges. As a key contributor and leader to Meta's day-to-day sound design, the Creative Coder provides creative and technical insights to drive immersive and agentic audio experiences, offering a long runway for creativity, innovation, and empowerment to push the boundaries of sound technology and make a meaningful impact. 7+ years implementing/coding sonic experiences for products in mobile, hardware, and/or non-traditional immersive environments 5+ years development experience with at least two of these languages: C++. Kotlin, Javascript, RUST and Python Experience building large scale audio programs with solid OOP architecture...

Billing Specialist - Leading TX Center for over 40 years Salary: $25 - $29 per hour We are a long-standing nonprofit treatment provider with over five decades of service in the recovery community. For over 40 years, we’ve helped more than 50,000 individuals overcome health challenges through compassionate, evidence-based care. With 300+ residential beds and a dedicated team of 150+ staff, interns, and volunteers, we offer comprehensive services that promote long-term sobriety and personal growth. Benefits Medical Dental Vision 401K Growth Options The billing specialist ensures accurate and timely billing for services provided. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations. The ideal candidate is detail-oriented, tech‑savvy, and experienced in medical billing systems and procedures. Key Responsibilities Reconcile billing records for...

The Creative Audio team is seeking a Creative Coder for the Tech & Prototypes department. This role collaborates closely with Engineering and Product Design to define sound functionality and deliver advanced audio systems. It involves developing advanced audio solutions, optimizing performance, refining tools, and solving complex technical challenges. As a key contributor and leader to Meta’s day-to-day sound design, the Creative Coder provides creative and technical insights to drive immersive and agentic audio experiences, offering a long runway for creativity, innovation, and empowerment to push the boundaries of sound technology and make a meaningful impact. Creative Coder Responsibilities Identity potential large scale opportunities within Meta and partner with design and engineering teams to deliver state of the art audio functionality, tooling and pipeline solutions Provide audio engineering leadership to cross-functional partners, improving audio quality and...

UCLA Health is seeking a Coding Department Supervisor to oversee coding operations within the Physician Billing Office. This role ensures compliance with coding standards while developing team members and managing workflow effectively. The ideal candidate will possess a Bachelor's degree in Health Information Management along with CPC certification and at least five years of coding experience. Key responsibilities include supervising staff, conducting audits, and supporting process improvements. #J-18808-Ljbffr

Medical Billing Specialist $25 - $29 per hour | Los Angeles, CA | On‑Site | Permanent Billing Specialist - Leading A bit about us: We are a long‑standing nonprofit treatment provider with over five decades of service in the recovery community. For over 40 years, we’ve helped more than 50,000 individuals overcome health challenges through compassionate, evidence‑based care. With 300+ residential beds and a dedicated team of 150+ staff, interns, and volunteers, we offer comprehensive services that promote long‑term sobriety and personal growth. Why join us? Medical Dental Vision 401K Growth Options Job Details The billing specialist ensures accurate and timely billing for services provided. This role is responsible for preparing, reviewing, and submitting claims, resolving denied or unpaid claims, and maintaining compliance with local, state, and federal billing regulations. The ideal candidate is detail‑oriented, tech‑savvy, and experienced in medical billing systems and...

Benefits: Employee discounts Training & development Wellness resources Role Overview Own the end-to-end medical billing lifecycle for a multi-specialty healthcare clinic. Drive clean claims, fast reimbursements, and zero leakage. This is an execution-heavy, accountability-driven role—not a passive billing position. Core Responsibilities Manage full-cycle billing: charge entry, claim submission, payment posting, and follow-up. Bill and reconcile across multiple payor types: Commercial insurance Medicare Personal injury (PI) Workers’ compensation Cash-based services Ensure accurate CPT, ICD-10, and modifier usage across: Medical Chiropractic Physical therapy Acupuncture Massage therapy Aggressively work A/R: Identify denials, underpayments, and delays. Execute timely appeals and corrections. Maintain compliance with: Medicare rules State and federal billing regulations Payor-specific policies Communicate clearly with:...

Job Description Job Description All for Health, Health for All, Inc. (AFH) is a nonprofit Federally Qualified Health Center (FQHC) and a certified Patient-Centered Medical Home. For over 40 years, we have provided high-quality, accessible healthcare services to medically underserved and diverse populations across Los Angeles County, Orange County, and the state of Nevada. Our integrated, team-based model includes general family practice, pediatrics, behavioral health, mental health services, and adult day health care. In the past year alone, we served over 30,000 patients across more than 90,000 visits at a dozen clinic locations. AFH is currently seeking dedicated and compassionate individuals to join our mission-driven team. We are hiring Full-Time medical biller/collector. SUMMARY An individual must be able to perform each essential duty satisfactorily which includes billing, posting payments, answering patient questions and concerns by phone or personally in fast-paced,...