Top 240 Compliance auditor Jobs in Arcadia Ca

Chart Auditor - Glendale
Adventist Health —Glendale, CA
- $62.83 - $86.18 an hour
- Full-time
- Nursing
- RN License
- Mid-level
Compliance Analyst
WelbeHealth —Los Angeles, CA
- $82,074.03 - $108,337.72 a year
- Remote
- Microsoft Outlook
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
5d
Senior Quality Engineer
Calnetix Technologies, LLC —Cypress, CA
- From $130,000 a year
- Full-time
- Engineering
- 8 years
- Analysis skills
Quick Apply
Senior Quality Engineer
Eleven Recruiting and Consulting Services LLC —Bell Gardens, CA
- $105,000 - $120,000 a year
- Full-time
- Background check
- Engineering
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Case Management Auditor-Personal Injury Cases
Pathway Law Firm —Beverly Hills, CA
- $80,000 - $100,000 a year
- Full-time
- Mid-level
- Analysis skills
- Continuous improvement
Quick Apply
Senior Quality Engineer
ADC Aerospace —Buena Park, CA
- $110,000 - $135,000 a year
- Full-time
- 7 years
- Engineering
- Mentoring
Quick Apply
Public Works Labor Compliance Specialist
Confidential —Orange, CA
- From $25 an hour
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Paid time off
- Flexible schedule
Quick Apply
Compliance Specialist Senior Wealth Management
City National Bank —Los Angeles, CA
- $85,000 - $145,000 a year
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Health insurance
- Dental insurance
Internal Auditor
First Commercial Bank(USA) —Arcadia, CA
- From $91,524 a year
- Full-time
- Background check
- Computer literacy
- Office
- Health insurance
- Dental insurance
Quick Apply
Compliance Specialist
American Gold Star Manor —Long Beach, CA
- $25 - $35 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Health insurance
Quick Apply
Supply Chain Purchasing Compliance Specialist (Anaheim, CA)
Can-Am Consultants —Anaheim, CA
- $50 - $70 an hour
- Full-time
- Office
- Analysis skills
- Bachelor's degree
- Health savings account
- Paid holidays
Quick Apply
Lead Fiduciary Compliance Specialist
City National Bank —Los Angeles, CA
- $120,000 - $200,000 a year
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Health insurance
- Dental insurance
Senior Quality Engineer
Advanced Ground Systems Engineering LLC —Santa Fe Springs, CA
- $105,000 - $135,000 a year
- Full-time
- Engineering
- Travel
- Mentoring
- Health insurance
- Dental insurance
Quick Apply
Environmental Compliance Analyst
Associated Environmental Management —South Pasadena, CA
- $60,000 - $70,000 a year
- Full-time
- Spanish
- Bachelor of Science
- English
- Health insurance
- Dental insurance
Quick Apply
Facility Outpatient Surgical and Claims Edit Auditor (Remote)
Cedars-Sinai —Los Angeles, CA
- $45.89 - $73.42 an hour
- 8 hour shift
- Remote
- Surgery
- Mid-level
- 3 years
- Dental insurance
- 403(b)
Auditor
East West Bank —Pasadena, CA
- $71,000 - $76,000 a year
- Full-time
- CPA
- Research
- Mid-level
- Opportunities for advancement
Facility Inpatient Surgical and Claims Edit Auditor
Cedars-Sinai —Los Angeles, CA
- $45.89 - $73.42 an hour
- 8 hour shift
- Remote
- Surgery
- Mid-level
- 3 years
- Dental insurance
- Paid time off
Claims Auditor, Managed Care (remote)
Cedars-Sinai —Los Angeles, CA
- $27.74 - $43.00 an hour
- 8 hour shift
- Remote
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
Animal Research Training and Compliance Specialist (Hybrid)
City of Hope —Duarte, CA
- $33.80 - $52.29 an hour
- Full-time
- 5 years
- Mid-level
- Bachelor's degree
PT Night Auditor
Westin Pasadena —Pasadena, CA
- $22.50 an hour
- Part-time
- Military
- Computer literacy
- Basic math
- Disability insurance
- Health insurance
Quick Apply

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compliance auditor jobs near arcadia ca

Chart Auditor - Glendale

Adventist Health -
Glendale, CA

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Job Details

Full-time
$62.83 - $86.18 an hour

Qualifications

Associate's degree

Full Job Description

Adventist Health Glendale is looking for Chart Auditor for Full-time, Day Shift. We are looking for great individual who can work onsite to our location in Glendale, CA

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Supports the Revenue Management Department by auditing medical records and clinical documentation to ensure proper patient status placement, accurate coding, and defensible payer billing. Focuses on clinical denials, observation services, documentation gaps, and payer requirements for authorization and coverage. Collaborates with Case Management, Utilization Management, Coding, Medical Officer, and Physician Advisors to reduce clinical denials, improve documentation quality, and ensure compliance with regulatory and payer standards. Provides analytic reports and feedback to identify systemic trends and educational opportunities.

Job Requirements:

Education and Work Experience:

Associate’s degree in Nursing or related clinical field: Required
Bachelor's Degree in Nursing (BSN) or Healthcare Administration: Preferred
Prior experience in utilization review, case management, coding, or clinical auditing: Preferred

Licenses/Certifications:

Current licensed RN in the state of practice (RN), medical provider (MD), or International Medical Graduate with valid credential: Required
Registered Nurse (RN) or Medical license MD (MD) or Foreign Medical Doctor (FMD): Required

Essential Functions:

Conducts concurrent audits of active cases to identify documentation and order issues in real time, preventing downstream denials. Applies InterQual or Milliman/MCG criteria to validate patient status decisions and payer medical necessity compliance.
Reviews medical records to validate patient placement (inpatient vs. observation) against payer criteria and physician orders. Audits clinical denials to determine root cause, trends, and opportunities for appeal, and recommends actionable prevention strategies. Performs charge audits and account reconciliations to ensure documentation is appropriate, compliant with regulations, and free of denial risk. Provides recommendations for charge corrections and technical assistance in staff training.
Identifies barriers to clean claims and timely payment; tracks and trends denials, escalating systemic issues to the Director/Manager. Tracks and trends payer clinical denials, observation hours, and placement errors; prepares reports for Revenue Management leadership. Provides feedback to Coding and CDI teams regarding documentation needed for coding accuracy and DRG assignment.
Partners with Case Management, Utilization Management, Medical Officer, and Physician Advisors to ensure accurate clinical documentation and timely status changes. Collaborates in payer escalations and appeal preparation by supplying clinical and documentation findings. Educates providers and staff on documentation, status order accuracy, and denial prevention strategies.
Monitors CMS, state, and commercial payer regulatory changes impacting clinical documentation, placement, and observation requirements; integrates updates into audit practices. Demonstrates reliability, responsiveness, and effective follow-up on matters requiring attention.
Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

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Refine Your Search

compliance auditor jobs in arcadia ca

Chart Auditor - Glendale

Compliance Analyst

Senior Quality Engineer

Senior Quality Engineer

Case Management Auditor-Personal Injury Cases

Senior Quality Engineer

Public Works Labor Compliance Specialist

Compliance Specialist Senior Wealth Management

Internal Auditor

Compliance Specialist

Supply Chain Purchasing Compliance Specialist (Anaheim, CA)

Lead Fiduciary Compliance Specialist

Senior Quality Engineer

Environmental Compliance Analyst

Facility Outpatient Surgical and Claims Edit Auditor (Remote)

Auditor

Facility Inpatient Surgical and Claims Edit Auditor

Claims Auditor, Managed Care (remote)

Animal Research Training and Compliance Specialist (Hybrid)

PT Night Auditor

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