Top 49 Medical auditor Jobs in California

Call Center Quality Assurance Auditor
United Faith Ministries Inc —Orange, CA
- $26 an hour
- Full-time
- Spanish
- HIPAA
- English
- 403(b) matching
- Health insurance
Quick Apply
Claims Auditor, Managed Care (remote)
Cedars-Sinai —Los Angeles, CA
- $27.18 - $42.13 an hour
- 8 hour shift
- Remote
- Mid-level
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
Compliance Auditor -Remote
Providence —California
- $30.47 - $58.75 an hour
- Full-time
- Remote
- 5 years
- Mid-level
- Finance
- Paid parental leave
- Paid holidays
Acute Coding Quality Review Auditor (Remote)
Adventist Health —Roseville, CA
- $36.91 - $50.62 an hour
- Remote
- 5 years
- Mid-level
- High school diploma or GED
Risk Adjustment Compliance Auditor (Remote)
Alignment Healthcare USA, LLC —Orange, CA
- $64,384 - $96,577 a year
- Full-time
- Remote
- Microsoft Access
- Basic math
- HIPAA
Quick Apply
Facility Outpatient Surgical and Claims Edit Auditor (Remote)
Cedars-Sinai —Los Angeles, CA
- $44.98 - $71.97 an hour
- 8 hour shift
- Remote
- Surgery
- Mid-level
- 3 years
- Dental insurance
- 403(b)
Claims Auditor
Imperial Management Administrators Services Inc —Pasadena, CA
- $30 - $35 an hour
- Microsoft Word
- Microsoft Excel
- Writing skills
Quick Apply
Facility Inpatient Surgical and Claims Edit Auditor
Cedars-Sinai —Los Angeles, CA
- $44.98 - $71.97 an hour
- 8 hour shift
- Remote
- Surgery
- Mid-level
- 3 years
- Dental insurance
- Paid time off
Compliance Auditor II
Inland Empire Health Plan —Rancho Cucamonga, CA
- $80,059.20 - $106,059.20 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Disability insurance
- Health insurance
5d
RCM Auditor
Integrated Pain Management Medical Group, Inc. —Walnut Creek, CA
- $28 - $35 an hour
- Full-time
- 3 years
- High school diploma or GED
- Senior level
- Paid holidays
- Health insurance
Quick Apply
8d
Clinical Audit Coordinator (Pharmacy)
Centene Pharmacy Services —California
- $23.23 - $39.61 an hour
- Full-time
- Remote
- Microsoft Access
- Mid-level
- Microsoft Office
- Paid holidays
- Health insurance
2d
STAFF SERVICES MANAGEMENT AUDITOR
Department of State Hospitals —Sacramento County, CA
- $4,470 - $7,269 a month
- Weekends as needed
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Hospital
- Paid holidays
- Health insurance
Dental Auditor
WEST COAST DENTAL ADMINISTRATIVE SERVICES LLC —Los Angeles, CA
- $600 a day
- Full-time
- Dental office
- Mid-level
- Office
Quick Apply
Compliance Auditor - SRS
Sharp HealthCare —San Diego, CA
- $34.17 - $49.37 an hour
- 8 hour shift
- Mid-level
- 3 years
- Presentation skills
Coding Compliance Auditor
Community Health System —Fresno, CA
- $44.52 - $56.65 an hour
- 8 hour shift
- Nursing
- 3 years
- Epic
- Free parking
- 403(b) matching
Delegation Oversight Compliance Auditor III
L.A. Care Health Plan —Los Angeles, CA
- $88,854 - $142,166 a year
- Full-time
- Microsoft Excel
- Writing skills
- Bachelor's degree
- Wellness program
- Health insurance
6d
Coding Audit Supervisor
Cedars-Sinai —Los Angeles, CA
- $100,110.40 - $130,145.60 a year
- 8 hour shift
- Management
- Mid-level
- High school diploma or GED
- 403(b)
Healthcare Coding Compliance Auditor - RUHS
County of Riverside —Riverside, CA
- $105,597.80 - $145,114.92 a year
- Background check
- Office
- Finance
- Paid holidays
- Disability insurance
Healthcare Claims Compliance Auditor (RCM)
ERN Enterprises, Inc. —Costa Mesa, CA
- $37,440 - $60,552 a year
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Delegation Oversight Clinical Auditor RN II
L.A. Care Health Plan —Los Angeles, CA
- $88,854 - $142,166 a year
- Full-time
- Nursing
- RN License
- Computer literacy
- Wellness program
- Health insurance

I want to receive the latest job alert for medical auditor in california

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medical auditor jobs near california

Call Center Quality Assurance Auditor

United Faith Ministries Inc -
Orange, CA

Quick Apply

Job Details

Full-time
$26 an hour

Benefits

403(b) matching
Health insurance
Dental insurance
Vision insurance
403(b)

Qualifications

Metrics Reporting
Trend analysis
High school diploma or GED
Quality improvement
Call monitoring
Audit risk assessments
Quality audits
Process improvement planning
Root cause analysis
Excel data analysis

Full Job Description

Operations & Compliance Auditor

Healthcare is increasingly unaffordable for many Americans. For those who can afford it, they are in a health insurance system that has become more confusing, restrictive, and lower value with each passing year. Here at WeShare our mission is to bring better healthcare to America at a better price. We offer consumers a member-to-member health sharing program that is much more cost effective than standard health insurance while providing access to over 1.2 million physicians across the country. Come join us on this important journey to create the next generation of healthcare!

WeShare is a rapidly growing faith-based nonprofit that strives to do good while delivering great and affordable healthcare. The company is led by senior executives with an extensive background in both for-profit and not-for-profit enterprises. If you have a bias for action, enjoy challenges, and love creating impact in a massive industry, WeShare might be the place for you!

About this role

The Operations & Compliance Auditor ensures accuracy, compliance, and efficiency across call-center and operational workflows. This role conducts advanced, risk-based audits across multiple communications channels, identifies systemic gaps, and provides strategic insights that protect revenue, data integrity, and member experience.

Operating with minimal supervision, the auditor serves as a subject matter expert, escalation resource, and partner to leadership on quality, compliance, and process improvement initiatives.

Key Responsibilities

Quality Oversight & Multi-Channel Auditing

Conduct risk-based audits across calls, case documentation, emails, texts, escalations, exceptions, and retention/saves
Perform high-risk and escalated audits requiring independent judgment and regulatory awareness
Identify systemic process gaps, compliance deviations, terminology inconsistencies, operational risks, and provide actionable recommendations
Perform peer-to-peer audits and audit the auditors

Operational Expertise & Escalation Support

Serve as a subject matter expert for eligibility, application outcomes, cancellations, reinstatements, saves, and compliance workflows
Act as an escalation resource for complex or high-risk cases
Ensure adherence to internal protocols, documentation standards, and compliance requirements
Proactively identify and resolve operational or compliance issues with a solutions-oriented approach

Trend Analysis & Strategic Insight

Analyze audit trends and performance metrics to support leadership decision-making
Identify recurring errors, blind spots, and systemic issues and contribute to process improvement planning
Provide complete, accurate reporting with clear recommendations
Participate in calibration sessions to ensure consistent scoring
Detect errors impacting revenue, billing accuracy, eligibility, or member records
Support special projects and implementation of safeguards that protect revenue and reputation

Reporting, Documentation, & System Optimization

Maintain accurate audit logs and documentation
Support development of audit scorecards, QA workflows, and reporting frameworks
Participate in system optimization initiatives to improve operational efficiency

Reliability & Performance

Consistently meet or exceed KPIs with minimal supervision
Demonstrate strong follow-through, confidentiality, and discretion with sensitive data
Maintain a solutions-oriented mindset in resolving operational challenges

Required Qualifications

HS Diploma/GED or higher
1+ year in QA, auditing, compliance review, call-center QA, or customer service
Experience auditing calls, written correspondence, and case documentation
Strong analytical skills with trend and root-cause identification
High attention to detail, risk assessment ability, and independent judgment
Strong written and verbal communication skills
Proven reliability, confidentiality, and ability to provide objective feedback
Excel proficiency and experience creating structured reports
Demonstrated process-improvement and system-optimization experience
Strong organizational skills and ability to work with minimal supervision

Preferred Qualifications

Experience in healthcare, health-sharing, insurance, or non-profit environments
Familiarity with compliance frameworks and HIPAA
Bilingual (Spanish/English) and tech-savvy

What we offer

Competitive hourly and benefits package, including health, life dental, and vision insurance, 403(b) with company match, and time off
The chance to make a meaningful impact in the lives of individuals and families seeking affordable, faith-based healthcare solutions
Great culture where you work with the founders and key stakeholders in a relaxed, but innovative atmosphere

UHSM is an Equal Opportunity Employer. Our business is fast-paced and will continue to evolve. As such, the duties and responsibilities of this role may be changed as directed by the Company at any time to promote and support our business needs. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, protected veteran status, or any other basis protected by applicable law and will not be discriminated against on the basis of disability.

Work Location: In person

Quick Apply

Refine Your Search

medical auditor jobs in california

Call Center Quality Assurance Auditor

Claims Auditor, Managed Care (remote)

Compliance Auditor -Remote

Acute Coding Quality Review Auditor (Remote)

Risk Adjustment Compliance Auditor (Remote)

Facility Outpatient Surgical and Claims Edit Auditor (Remote)

Claims Auditor

Facility Inpatient Surgical and Claims Edit Auditor

Compliance Auditor II

RCM Auditor

Clinical Audit Coordinator (Pharmacy)

STAFF SERVICES MANAGEMENT AUDITOR

Dental Auditor

Compliance Auditor - SRS

Coding Compliance Auditor

Delegation Oversight Compliance Auditor III

Coding Audit Supervisor

Healthcare Coding Compliance Auditor - RUHS

Healthcare Claims Compliance Auditor (RCM)

Delegation Oversight Clinical Auditor RN II

I want to receive the latest job alert for medical auditor in california

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected