Remote Internal Medicine Physician: AI Clinical Auditor - Los Angeles - Turing

The Clinical Provider Auditor II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse.This role requires associates to be in-office - 2 days per week. · Please note that per our policy on hybrid/virtual work,Alternate ...

Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospital ...

The Continuous Quality Monitoring (CQM) team is responsible for ensuring regulatory compliance related to Utilization Management (UM) activities. · Graduate from 4 years University with bachelor diploma, · At least 3 years of experience in managed care setting with minimum 2 year ...

The Continuous Quality Monitoring (CQM) team is responsible for ensuring regulatory compliance related to Utilization Management (UM) and Case Management (CM) activities. · ...

The Senior Revenue Integrity Specialist is responsible for the timely and accurate synchronization of data between the CDM residing in the billing system and CDM management tools. This includes ensuring all annual updates required by Medicare and other third-party payers are up t ...

This position supports Supplier Quality Assurance with activities related to supplier qualification and regulatory compliance.The Supplier Qualification Specialist I will collaborate with Arrowhead business teams, the Supplier Quality team, and internal and external auditors. · ...

The Medicare Audit Risk Management is responsible for managing Medicare accounts receivable, · The Auditor works closely with billing, coding, clinical, and compliance teams to protect revenue while maintaining compliance with CMS and MAC requirements. · ...

This position supports Supplier Quality Assurance with activities related to supplier qualification and regulatory compliance. · The Supplier Qualification Specialist I will collaborate with Arrowhead business teams, the Supplier Quality team, and internal and external auditors. ...

· Overview · As an RN Clinic Supervisor, you will lead the daily operations of our on-site clinic, ensuring that participants receive high-quality care. This role involves coaching and mentoring a dynamic team while collaborating with other leaders to enhance workflows and parti ...

We continue to scale and require experienced medical leadership to ensure our work meets the highest clinical and regulatory standards. · This role offers the opportunity to contribute without the demands of a full time operational position. · Serve as Medical Director for RDI's ...

RDI operates a high complexity CLIA / CAP laboratory supporting clinical trials across the United States. · This role offers the opportunity to contribute to meaningful diagnostics research without full time operational demands. · ...

This position will work with senior management to ensure that the clinics are operating effectively. · Oversees the financials of the Beach Cities Orthopedic practice. · Collaborates with leaders in the Central Billing Office and Business Intelligence to manage workers' compensat ...

This position will work with senior management to ensure that clinics operating effectively with sound financial analysis. Accountable for overseeing and managing financials budgets variance reporting for Beach Cities Orthopedics including collaboration with USC Care Central Busi ...

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. · Coding ...

We are seeking an Inpatient Coding Auditor to join our team. This role will be responsible for monitoring coding compliance through prebill and retrospective reviews or audits of ICD and/or CPT codes assigned by coding staff. · Responsibilities include:Monitoring coding complianc ...

The Medicare Audit Risk Management is responsible for managing Medicare accounts receivable, · with a primary focus on payment takebacks, recoupments, and demand letters issued by Medicare. · This role ensures timely response to Medicare payment adjustments, appeal determinations ...

Job Description · Job Summary · The Specialist, Member & Community Interventions implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare, Marketplace, Medicaid) Executes health plan's member and community quality focu ...

The coding compliance auditor performs second-level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments. · Perform monthly internal coding audits. · Develop monitoring/education plans for coding staff who do not meet accuracy rates. · ...

Vista Del Mar Child & Family Services seeks a Quality Assurance Technician to ensure compliance with clinical records system in accordance with medical-legal standards. · ...

Why RDI · RDI operates a high complexity CLIA / CAP laboratory supporting clinical trials across the United States. Our reputation is built on medical credibility, regulatory integrity, and trust. As we continue to scale, experienced medical leadership is essential to ensure our ...

The Senior Accountant will prepare and post all Journal Entries, Prepare Financial Statements, Supporting Documents, · and assist in all Accounting functions for the hospital. · ...