Claims Auditor

Are you a meticulous and detail-oriented individual with a passion for healthcare? Are you looking for an opportunity to use your analytical skills to make a difference in the lives of patients? If so, we have the perfect role for you as a Claims Auditor at Cedars-Sinai Medical Center. As a Claims Auditor, you will play a crucial role in ensuring the accuracy and integrity of our billing and claims processes. We are seeking a highly organized and self-motivated individual with a strong understanding of medical coding and billing regulations. Join our team and contribute to our mission of providing exceptional care to our community.

• Conduct thorough and detailed audits of medical claims to ensure accuracy and compliance with coding and billing regulations
• Identify and investigate any discrepancies or errors in claims, and work with appropriate departments to resolve any issues
• Utilize knowledge of medical coding and billing guidelines to evaluate claim documentation and coding accuracy
• Communicate audit findings and recommendations to management and collaborate on implementing necessary changes or improvements
• Stay up-to-date on changes in coding and billing regulations to ensure compliance and accuracy in claims processing
• Create and maintain reports and documentation related to audits, findings, and resolutions
• Collaborate with other departments and teams within the organization to improve overall efficiency and effectiveness of claims processes
• Participate in training and development opportunities to continuously improve knowledge and skills related to claims auditing and healthcare regulations
• Adhere to all confidentiality and privacy regulations to protect patient information
• Demonstrate a commitment to the organization's mission and values, and contribute to a positive and supportive work environment.

According to JobzMall, the average salary range for a Claims Auditor in California, USA is between $56,000 and $85,000 per year. This can vary depending on factors such as experience, location, and company size.

Cedars-Sinai Medical Center is a non-profit, tertiary 886-bed hospital and multi-specialty academic health science center located in Beverly Grove in the Mid-City West area of Los Angeles, California.