The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary.
Specific Skills Needed
Knowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; 10-key skills by touch; excellent communication skills; knowledge of system applications; ability to function effectively under time deadlines; strong organizational skills.
Required:
Formal training will be indicated by a high school diploma or equivalent; four years medical claims processing.
Preferred
Department Management to list.
Duties & Responsibilities
Safeguards and preserves the confidentiality of patient's protected health information in accordance with State and Federal (HIPAA) regulatory requirements, hospital and departmental policies.
Ensures a safe patient environment and adherence to safety practices per policy.
With consideration to age, employee utilizes the approved process to resolve biophysical, psychological, educational and environmental needs of patient/significant other when administering care.
Assist the Claims Director in the training and education of the Claims department staff
Coordinate the generation and review of claims audit, status and pending claims reports ensuring authorized claims are paid in accordance with company guidelines
Investigate, process and track payment adjustments including refunds, overpayments and underpayments
Act as a confidential and professional resource for group providers and other staff.
Act as a resource for providers, members, insurance carriers, attorneys and co-workers, researching and responding to questions in a timely manner
Create, maintain and generate system reports
Interface with the Claims Director to ensure claims processing functions meet legal and contractual requirements with regards to health plan audits
Prepare and present weekly and monthly reports reflecting staff and departmental quality statistics
Review and audit member liability denials and Provider Dispute Resolution claims to ensure compliance with regulatory requirements and passing audit scores from health plans
Perform other duties as assigned
Recruiter Details:
Vishakha Singh
Sr IT Recruiter
E-mail: *************************************
Internal id- 25-54852
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
$47k-65k yearly est. 2d ago
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Financial Compliance Auditor
Prokatchers LLC
Auditor job in Los Angeles, CA
The Specialty Health Plans Auditor III, Finance is responsible all aspects of planning, execution, reporting, and corrective action plans monitoring of financial solvency for specialty health plans and vendors. This includes medical, vision, dental, behavioral health, transportation, and telehealth services providers.
Essential Duties and Responsibilities:
Performs financial audits and/or financial analyses for Specialty Health Plans on the quarterly and annual basis.
Provides timely and accurate deliverables to ensure financial solvency and claims processing compliance with regulatory and contractual requirements for plan partners, participating provider groups, capitated hospitals, specialty health plans, and vendors.
Experience Required:
At least 4 years of experience in conducting financial audits.
At least 5 years of related experience in the managed health care industry.
$56k-88k yearly est. 3d ago
Lead Supplier Auditor
Arrowhead Pharmaceuticals, Inc. 4.6
Auditor job in Pasadena, CA
This position will lead and participate in vendor audits on behalf of Arrowhead in accordance with GxP and/or other applicable regulations. This position will support the vendor qualification management team with management of the qualification records for Arrowhead vendors. This position may also assist with the management of quality events, review of procedural documents, and inspection readiness.
Responsibilities
* Independently conduct Vendor Audits, Internal System Audits, and Clinical Trial Site audits, including issuing timely reports and facilitating finding responses
* Assist in generation, tracking, monitoring, and reporting of key quality metrics
* Facilitate ongoing quality improvement through communication of audit results, CAPAs and GxP guidance to the Quality and Business teams
* Support health authority inspections
* Communicate any serious or critical compliance risks noted from these activities to senior management (manage report of Critical Findings)
* Participate and lead in the lifecycle of Arrowhead Standard Operating Procedures and Work Instructions regarding GxP, industry guidelines, and global regulations.
* Assist in the issuance, review, tracking, and completion of Quality Events (e.g. deviations and CAPAs)
* Keep up to date with all related quality legislation and compliance issues. Ensure regulations are communicated through development of corporate policies and procedures
* Work with Vendor Management Teams on identifying and mitigating any compliance issues
* Oversee contract auditors and others perform audits on behalf of Arrowhead
* Ensure vendor/site audit and qualification documentation is properly maintained in Veeva electronic repositories
* Other duties consistent with the position as assigned from time to time
Requirements:
* Bachelor's degree in a science discipline is required.
* 5 years of relevant experience in GxP auditing and compliance
* Strong knowledge of GMP/GLP/GDP/GCP/GVP and Food & Drug Administration (FDA), European regulations and ICH guidelines
* Prior GMP/GLP/GCP/GCP/GVP auditing, training, and/or compliance investigation experience
* Knowledgeable in Computer System Validation (CSV) and data integrity audits is beneficial
* Requires travel to other Arrowhead locations as well as domestic and international travel
$72k-104k yearly est. Auto-Apply 10d ago
Internal Auditor
Consultative Search Group
Auditor job in Los Angeles, CA
A fast-growing medical device company, located in the Glendale/Los Angeles area seeks an Internal Auditor to join their dynamic team. You will have the opportunity to partner with a dynamic business operations team, contributing your financial insights to enhance internal control processes and improve daily operations. This role is starting out on a Temporary basis, and has the potential to be hired on, with a pay rate of $55 to $65 an hour DOE.
The Auditor position will be responsible for conducting operational, financial, and regulatory internal audits (no SOX testing). The following statements are intended to describe the general nature and level of work being performed.
Responsibilities include:
Identify operational, compliance, financial, and reputational risks through risk assessment, audit and consulting activity;
The ability to execute the planning, fieldwork and reporting stages of the internal audits;
Leading interviews to understand current state systems, processes, and controls and assessing risk with minimal oversight and supervision;
Performing walk-throughs of control processes and substantive testing, as necessary;
Designing audit procedures for high-risk and complex audit areas;
Designing and performing data analytic procedures to identify emerging risks and patterns;
Identifying, developing and documenting audit findings and discussing the findings with the stakeholders;
Drafting audit reports and communicating audit results via verbal and written presentations to management;
Performing due date tracking, management follow-up, and validation testing for the remediation of audit findings;
Drafting internal audit meeting materials;
Performing validation testing for the remediation of audit findings;
Helping to advise stakeholders on the strengths and weaknesses of controls;
Qualifications
5 plus years of internal audit experience;
Some public audit would be a plus (i.e., internship experience works);
Experience applying internal auditing standards, management principles and business practices;
Experience collecting and analyzing complex data, evaluating information and drawing logical conclusions;
Experience using data analytics to identify patterns and trends using data;
Have a basic understanding of Accounting principles.
Proficiency with Microsoft Office suite applications, with a specific emphasis on Word, Excel, Outlook and PowerPoint to prepare work papers, reports, memos and summaries.
Education
Bachelor's degree in relevant discipline (Accounting, Finance, or Business-related field). A CPA or CIA is preferred.
Many of our job openings can be viewed at **********************************************
$55-65 hourly 28d ago
Audit Staff
TAAD LLP
Auditor job in Diamond Bar, CA
Tasks Responsibilities
Perform and assist with public company audits and reviews in various industries under PCAOB standards
Prepare and analyze financial statements and evaluate internal controls
Assist with the coordination of the day-to-day duties of planning, fieldwork and wrap-up
Understanding of US GAAP and SEC financial reporting standards
Develop reasonable time budgets and coordinate audit requests to meet time constraints and client deadlines
Interact with clients to help ensure the information flow from the client to the audit team is efficient
Communicate with Manager and/or Director on work status and client issues that arise
Requirements
Skills
Excellent oral and written communication skills, including the ability to explain complex audit issues in plain language
Attention to detail and dedication to quality
Strong project management, problem solving, and analytical skills
Strong leadership, training, mentoring and staff development skills
Proven experience working independently and managing multiple assignments in a dynamic environment
Dependability, integrity, and trustworthiness combined with a team mentality
Experience And Education
Minimum Bachelor's degree in Accounting
1-2 years in relevant position
Strong academic credentials (minimum GPA of 3.0)
CPA or actively working toward passing the CPA Exam
Must maintain required CPE credits annually
Salary Description $68,640.00 - $85,000.00/annual
$68.6k-85k yearly 60d+ ago
Audit Associate
Gursey Schneider LLP 3.9
Auditor job in Los Angeles, CA
Job Title: Audit Associate
Department: Audit
Successful candidates should have the following:
Internship and/or 1+ years of public accounting experience.
Undergraduate or master's degree in accounting or a related field.
Minimum overall and accounting GPAs of 3.4.
Should be preparing for or have already passed the CPA examination.
A solid understanding of audit issues.
Ability to utilize firm technology to enhance client service.
Proficiency in Microsoft Office applications.
Excellent written and oral communication skills.
A day-in-the-life basic overview includes:
Ensures compliance with established internal control procedures by examining records, reports, operating practices, and documentation.
Maintains internal control systems by updating audit programs and questionnaires and recommending new policies and procedures.
Completes audit work papers by documenting audit test findings and conclusions.
Performs accounting research and tests analytical procedures on financial data.
Identifies audit issues and proposes strategies to resolve them.
Communicates the status of work and issues with seniors, managers, or partners in a timely manner.
Works with other members of a team on a variety of engagements.
Develops strong relationships with firm and client personnel.
Benefits: G|S offers market-leading benefits, including medical/dental/vision insurance, paid parental leave, generous PTO, a profit-sharing plan, a 401(k) match, and overtime pay. We also offer several fun intangible perks, such as our annual ski/camping trip, black-tie holiday party, quarterly departmental mixers (travel stipend included), and paid continuing education.
$57k-66k yearly est. Auto-Apply 60d+ ago
Compliance Auditor (Title 31)
Flynt Management Group
Auditor job in Gardena, CA
Major Responsibilities:
Ensure where stipulated by law, all Currency Transaction Reports (CTR) are entered into Casino Management, and all folders and accompanying documents are processed for review and e-file transmission via the BSA E-Filing System.
Maintain a log of all BSA e-file submissions. Make sure all submissions are correctly transmitted and received by the FinCEN, confirm all submissions are being processed, and are error-free.
Monitor all electronic communication from FinCEN. Ensure all issues are being researched and corrected accordingly (i.e., social security number doesn't match the name, or any other errors and/or advisories).
Review all MTL logs for any suspicious activity.
Review all NIL logs for any suspicious activity.
Review all analytics for any suspicious activity.
Review daily security logs for any suspicious activity reported on logs.
Obtain daily surveillance logs and review for any suspicious activity.
Prepare Suspicious Activity Report (SAR) form and narrative once it has been approved by the Compliance Officer.
Ensure all SAR filings are e-filed via the BSA website.
Maintain hard-copy files of all BSA transmissions and documents required by IRS auditors readily available.
Assist the Cage and Floor Personnel with any other duties in regards to Title 31 Compliance.
Maintain the annual Title 31 training online program reports to ensure all employees have continual training as per compliance regulations.
Responsibilities
Qualification Requirements:
Ability to function within a position that has a wide scope and at times, high visibility and includes matters that require discretion and confidentiality.
Ability to relate well with others and perform duties with a high degree of integrity and adherence to professional ethical standards.
Excellent organization skills and an extremely high level of attention to detail.
Excellent oral and written communication skills.
Proficiency in Word, Excel, PowerPoint, and Outlook and the ability to adapt to additional internal applications.
Ability to work under pressure of deadlines and/or time limitations.
A minimum of 2 years of work experience in the casino industry preferred
Education/Formal Training
A high school diploma or general education degree (GED Finish )
Bachelor's degree preferred
After an offer of employment is made and prior to starting work, all employees must apply for and receive a Gardena City Work Permit at a cost of $125.
Physical Requirements
• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift 15 pounds at times.
$56k-88k yearly est. Auto-Apply 60d+ ago
Audit Associate
Regal Executive Search
Auditor job in Irvine, CA
Job Duties and Responsibilities:
Execute the daily operations of audit, review, compilation and attest engagements of various clients.
Accurately document the execution of specific audit procedures as defined by engagement objectives, client's engagement history and planned audit approach.
Research and facilitate the resolution of issues arising during engagements.
Assisting in the review of financial statements, including note disclosures.
Identify and communicate accounting matters to senior associates, managers and partners.
Interact with clients to help ensure flow of information from clients to the engagement team is efficient and timely.
Active involvement in professional development.
Qualifications:
Ability to manage deadlines, work on multiple assignments and prioritize each assignment, as necessary.
Demonstrate ability to communicate verbally and in writing throughout all levels of the organization, both internally and externally.
Applied working knowledge of (GAAP) and accounting principles and procedures.
Proficient use of applicable technology.
Ability and willingness to travel.
Education and Experience:
Bachelor's Degree in Accounting, Taxation or related field, preferred.
1+ years of experience in public accounting or related field.
CPA or CPA Candidates, preferred.
$47k-60k yearly est. 60d+ ago
Staff Auditor
Davis Farr
Auditor job in Irvine, CA
Davis Farr LLP is searching for a Staff Auditor(s) to join a flourishing company who is routinely included in Orange County Business Journals Best Places to Work. You will support the development and implementation of accounting policies, take part in compliance and communicate with other auditors relating to annual audits along with reviewing schedules for the reporting process.
About:
Davis Farr LLP is a rapidly growing, full-service CPA firm with its main office located in Irvine, California and two additional offices located in Carlsbad, California and Tacoma, Washington. We have provided expert professional experience in audit, tax, and consulting services to federal, state, and local governments, special purpose governments, non-profit organizations, service organizations and commercial entities for over 30 years.
Responsibilities:
· Assist in carrying out quality and other assurance services to clients in various industries
· Demonstrate a solid understanding of accounting principles, internal control standards and technology implementation
· Identify and communicate audit issues, technical matters and improvement opportunities to resolve client issues discovered during the audit process
· Perform other accounting, auditing, and consulting duties as assigned
· Draft annual financial statements, including footnote disclosures
· Develop and maintain an excellent working relationship with all levels of client staff to increase client satisfaction and strengthen client relationships
· Comply with and maintain the highest degree of professional standards, client confidentiality and person conduct
· Ad-hoc tasks and special projects as needed
Requirements
· BA/BS in Accounting; advanced certification highly desirable
o Eligible to sit for the CPA exam/plan to sit for the exam OR interested in pursuing compliance auditing
· 1+ years of public accounting preferred and/or experience with governmental, non-profit, and commercial sector audits
· Well-rounded knowledge of GAAP; GAAS, GAS and GAGAS a plus but not required
· Highly proficient with Excel, Word and PowerPoint, Audit software experience a plus
· Strong oral, written and interpersonal skills
· Strong attention to detail and exceptional analytical and research skills
· Ability to multi-task, think independently and problem solve in a team-oriented environment
· Some travel required
Benefits
$68,700-$80,000 plus excellent benefits package including generous PTO, medical, dental, vision, life insurance, 401(k) with company match. Company-paid licenses, professional dues and continued professional education.
$44k-56k yearly est. Auto-Apply 60d+ ago
Experienced Staff Audit
Forth Recruiting
Auditor job in Irvine, CA
Experienced Staff Auditors can proficiently perform the functions of a staff accountant and can take on certain more complex assignments. Experienced staff is provided a wider variety of diversified accounting assignments under the supervision of different professionals. Performance assessment is based on the quality of work, application of auditing and accounting knowledge, and ability to promptly complete assignments.
Core Responsibilities
Perform accounting procedures, or assist in other projects, as assigned.
Understand the client's business and industry and accounting and control systems.
Developing an understanding of the company's approach.
Assessing risks and evaluating the client's internal control structure.
Performing and documenting analytical procedures, substantive tests, and tests of controls to identify and resolve accounting or reporting issues.
Reviewing or assisting in the drafting of financial statements and other client deliverables.
Supervising staff auditors as required.
Education and Qualifications
Bachelor's degree in accounting or a related major is required.
CPA License preferred, or
A demonstrated progress towards obtaining a license.
Having passed all four parts of the CPA exam is strongly preferred.
Must successfully pass a background check.
Must be currently authorized to work in the United States full-time.
Essential Functions
Prepare high-quality work products for supervisor review.
Demonstrate an understanding of increasingly complex tax concepts.
Build and maintain good client relationships.
Experience
1-2+ years of relevant work experience.
1-year minimum in Public Accounting.
Experience in construction, technology, manufacturing/distribution, and/or transaction services is preferred.
Knowledge, Skills, and Abilities
Ability to perform most phases of a client engagement, from planning to issuance.
Effectively utilize firm audit software and research tools to continually learn, share knowledge, and enhance the quality of service to clients.
Effective time management and organizational skills, including supervising more than one engagement at a time.
Can work independently and manage multiple assignments in a dynamic environment.
Participate in training, recruiting events, and firm activities.
A strong technical aptitude for accounting skills with proficiency in US GAAP and GAAS.
Ability to learn in a fast-paced environment and receptive to feedback and coaching.
Ability to multi-task, prioritize responsibilities, and take the initiative on projects.
High attention to detail.
Excellent verbal and written communication skills in a professional setting.
Ability to communicate clearly and concisely in English.
A positive attitude and a team player mentality, willing and eager to assist others with a can-do spirit.
Is committed to delivering the highest level of client service and willing to go the extra mile to meet deadlines.
Working Conditions
Ability to work overtime and weekend hours during peak busy periods to meet deadlines and partner and client expectations.
Health
Comprehensive 401(k) matching program.
Choice of HMO or PPO medical plans available.
Generous discounts are available under some plans for drugs and/or eye prescriptions.
Comprehensive vision plans available.
A choice of HMO or PPO dental plans.
Funded life insurance plans covering death/dismemberment. Additional coverage is available for purchase.
Flex spending plans available.
Gym membership subsidy.
Happiness
Casual dress environment.
Substantial professional development through ongoing training (an accredited employer with the AICPA and the ACCA).
A training department is dedicated to all your learning & CPE continuation needs.
Subsidized CPA examination fees & spot bonus.
Paid time off to study for the CPA.
Competitive compensation packages.
Generous paid time off policies.
Diverse client base to inspire and challenge you.
Mentorship opportunities through our resource group and buddy systems.
Beyond
Bonus payments for client or employee referrals.
Targeted kudos program providing firm-wide employee recognition and financial rewards.
Discounted movie tickets.
Structured volunteer and community care programs through a dedicated company program.
A generational task force that welcomes ideas and suggestions to enhance the workplace.
Structured internship programs to guide future college graduates.
Partner & director attendance at local college recruiting and class events.
Benefits
401(k).
HMO or PPO Medical.
Drugs Discount Plans.
Vision Plans.
HMO or PPO Dental.
Life Insurance.
Flex-spending.
Gym Membership.
Casual dress.
Professional Development.
CPE continuation training.
CPA exam fees & spot bonus.
Paid time off to study CPA.
Competitive compensation.
Generous PTO.
Diverse client base.
Mentorship opportunities.
Client or employee referrals bonuses.
Employee recognition and financial rewards.
Discounted movie tickets.
Welcomes ideas and suggestions to enhance the workplace.
$44k-56k yearly est. 60d+ ago
Staff Auditor
Nksfb
Auditor job in Los Angeles, CA
NKSFB, LLCis the largest business management firm in the country, with more than 650 employees working from seven offices in the Los Angeles and New York City area. We work alongside the worlds top artists in music, film, and television, as well as athletes, executives, entrepreneurs, and other high achievers, offering a sophisticated range of concierge-style services to meet their lifestyle management needs.
Position Title:Staff Auditor
Reports To:Manager or Partner
Department:Audit
Location:Westwood
Your Role:NKSFB, LLC and NKSF, LLP is one of Los Angeles largest accounting firms dedicated to the entertainment industry. NKSF, the CPA firm, specializes in forensic and compliance accounting services often focusing on the entertainment industry and business dispute resolution.
The audit work conducted by NKSF lies at a unique intersection of entertainment and accounting. Those who have interest in the entertainment industry will find plenty of exposure to entertainment accounting and law as well as opportunities to develop connections with people in Entertainment.
We are seeking a Staff Auditor to be a key contributor in our Audit Department. In addition to a team-oriented, fast-paced work environment with career growth opportunities, we offer work-life balance benefits such as 4 day/40 hour work weeks, and alternative work schedules along with a competitive salary.
What Will You Do?
Perform compliance or forensic audit procedures, supervised in accordance with level of experience.
Demonstrate an understanding of audit/accounting programs, procedures, and work paper technique.
Manipulate and examine data to identify and document issues based on client agreements.
Work productively in a team environment with management and other colleagues.
Assist in maintaining productive working relationships with clients.
Develop and maintain productive working relationships with the audited company's representatives.
Travel and conduct on-site fieldwork as needed, primarily at the major studios.
Demonstrate an interest in staying up to date with entertainment industry news and changes.
What Do you Need to Succeed:
Analytical skills, both qualitative and quantitative.
A thinker, who can generate out of the box ideas and effectively problem solve.
Strong work ethic along with an ability to self-manage and take initiative.
High accuracy and attention to detail.
Excellent written and verbal communication skills.
Ability to organize information clearly.
Flexibility to changing work environments, schedules, and projects.
Strong time management skills and ability to adhere to long and short-term deadlines.
Advanced experience with Microsoft Office, especially Excel, Word, and Teams is preferred. Prior experience with Access a plus.
Education/Experience Requirements:
An undergraduate/graduate degree in accounting/finance or 2-plus years of relevant work experience.
Minimum accounting classes to meet job requirements such as Accounting 1 & 2 and Intermediate Accounting is preferred.
At least 3.0 GPA and no prior work experience or at least 2.5 GPA and some work experience in any field.
Physical Demands and Work Environment:
Standing, walking, crouching, and regular lifting up to 15 pounds
Frequent use of hands and reaching with hands and arms
Regularly talking, hearing, seeing, and sitting
Moderate to loud noise level
Risk of electrical shock
Salary Range:The salary range for this role is $60,000 - $65,000 and represents the firms good faith and reasonable estimate of the range of possible compensation at the time of posting. Actual compensation will be dependent upon a number of factors, including but not limited to, the candidates relevant experience, qualifications, and location.
What We Offer:NKSFB offers a great variety of benefits and perks to our employees. Some of these include:
Medical, Dental and Vision coverage
Flexible Spending Account
Basic Life and AD&D
Voluntary Life and AD&D
Long Term Disability
Voluntary Critical Illness and Cancer, Hospital Indemnity and Accident Coverage
Genetic Screening and Cancer Support
Pet Insurance
Accrue 15 PTO days annually
401k, Match and Profit Sharing Plan
10 Paid Holidays and 1 Floating Holiday
The job duties listed are typical examples of work performed by positions in this job classifications and are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks and responsibilities. Employees may also perform other duties as assigned.
NKSFB, LLC
is an Equal Opportunity Employer and is committed to diversity and inclusion. If youre a qualified candidate with a disability and you need a reasonable accommodation in order to apply for this position, please contact us at
******************
.
W
e collect your personal information when you apply for employment at NKSFB, LLC. To learn more about our data privacy practices, please view our
Employee Privacy Policy.
$60k-65k yearly Easy Apply 28d ago
Internal Auditor
Camber Corporation
Auditor job in Santa Ana, CA
Benefits:
401(k)
401(k) matching
Dental insurance
Employee discounts
Health insurance
Paid time off
Vision insurance
SUMMARY: We are seeking a meticulous and analytical Internal Auditor to evaluate financial and operational controls, ensure compliance with internal policies, and assess risks across our real estate and hospitality portfolio. The ideal candidate will have strong knowledge of real estate and/or hospitality operations, financial reporting, and regulatory compliance, and will help enhance business performance through independent assurance and recommendations. DUTIES AND RESPONSIBILITIES:The Internal Auditor manager will be responsible for independently reviewing and evaluating the company's financial and operational process, ensuring compliance with internal controls and applicable regulations. Helping to identify areas of improvement by conducting audits across various departments in Hospitality, Multi Family, and Construction, while reporting the findings and recommendations to management to mitigate risks and optimize efficiency within the organization. This position will also help the company update and develop new Standard Operating Procedures where necessary.
Travel to different locations across multiple states, which include Florida and Texas.
Conduct detailed audits of financial records, operational processes, and compliance procedures to identify potential risks and areas for improvement.
Perform data analysis, review documentation, and interview key personnel to gather evidence supporting audit findings.
Prepare clear and concise audit reports detailing findings, root causes, and actionable recommendations to management.
Communicate audit results to relevant stakeholders including senior management, department heads.
Follow up on corrective action to ensure identified issues are addressed effectively.
Stay updated on relevant accounting standards, industry regulations, and internal policies to ensure compliance across the organization.
Monitor for potentially fraudulent activity and report any suspicious transactions to the appropriate authorities.
Identify and assess key business risks across the organization including financial operational and compliance risks.
Develop or update Standard Operating Procedures to correct any deficiencies in controls.
Determine or assist in determining the audit procedures to be used.
Perform a review of the audit procedures, record of work, and audit reports.
Make, or assist in making, oral and written presentations to management during and at the conclusion of the examination, discussing deficiencies, recommending corrective action, and suggesting improvements in operations and reductions in cost.
Key Responsibilities by Department: Hospitality & Wine Operations
Perform audits of hotel and winery accounting operations, including revenue recognition, cash handling and inventory controls.
Assess point-of-sale (POS) systems, food & beverage cost tracking, and expense reporting.
Evaluate internal procedures related to events, tasting rooms, room reservations, and boutique retail operations.
Property Management Oversight
Review residential/commercial property financials, rent roll accuracy, lease administration, and operating expenses.
Evaluate internal controls over tenant billing, maintenance expenses, utility management, and third-party service contracts.
Audit Planning & Execution
· Develop and execute risk-based audit plans covering financial, operational, and compliance areas.
Compliance & Risk
Ensure compliance with applicable laws, regulations (e.g., GAAP, SOX if applicable), and internal company policies.
Identify and assess risks across various business units, including development, leasing, operations, and vendor management.
Work with external auditors, when necessary, in order to help provide the information they need to complete their audits.
Operational Audits
Monitor adherence to internal SOPs and recommend efficiency improvements.
REQUIREMENTS:
Bachelor's degree (B.A.) from an accredited college or university in accounting, business administration, business management, finance, or a closely related field.
3-6 years of internal audit experience; real estate or hospitality industry experience strongly preferred.
Solid understanding of property management systems (e.g., Yardi, MRI, M3, Opera Mastro, Silverware)
At least 2+ years of experience in internal auditing preferred.
Minimum 3 years of supervisory experience in auditing or accounting.
Proven experience in internal auditing with a strong understanding of accounting principles and internal control frameworks.
Excellent analytical and problem-solving skills with the ability to interpret complex data.
Strong communication and presentation skills to effectively communicate audit findings to management.
Proficient in data analysis tools and software.
Ability to work independently and as part of a team.
Strong customer service orientation.
Commitment to excellence and high standards.
Proficient in, Excel and Microsoft Office
AT-WILL EMPLOYMENT: The relationship between Camber Corporation and the employee is for an unspecific term and is considered “at will”. This means that the terms and conditions of employment may be changed, with or without cause and with or without notice, including, but not limited to termination, demotion, promotion, transfer, compensation, benefits, duties and location of work. No one other than the President of the Company has the authority to make any verbal or written agreements contrary to this provision and any such agreement must be put in writing and signed by the President before it is effective. Camber Corporation reserves the right to modify and update this Job Description as needed. Compensation: $75,000.00 - $85,000.00 per year
Camber Corporation is a nationwide, full-service, real estate asset management company that offers a wide range of real estate consulting and management.
The Camber team manages assets including multi-family units, retail centers, office complexes, self-storage, and hospitality businesses.
Purpose
Enriching lives by crafting exceptional environments and experiences.
Niche
We design, build and care for unique settings where communities thrive and memorable experiences come to life.
$75k-85k yearly Auto-Apply 60d+ ago
Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Usc 4.3
Auditor job in Los Angeles, CA
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 such as Cerner, MediTech, Epic, and Athena IDX in a manner to assure clean claims release for billing in a timely manner. Participate in response to inquiries regarding coding and documentation from coders, providers, and all other hospital staff. Perform other coding department related duties as assigned by Coding management.
CODING AUDITING 1. Performs monthly internal coding audits to evaluate accuracy of coding staff to ensure a required coding accuracy rate. 2. Develops monitoring/education plans for coding staff who do not meet the required accuracy rate. 3. Recognizes education needs of staff based on monthly reviews and conducts related in-services, as needed. 4. Ability to act as a resource to coding staff, USC Care staff, and providers on coding issues and questions. 5. Ability to achieve a 95% accuracy rate as determined by an annual external review of coding.
UNDER GENERAL SUPERVISION, RESPONSIBLE FOR 1. Professional coding of all diagnostic and procedural information from the medical records using ICD-10-CM, and CPT/HCPCS, and Modifier classification systems and abstracting patient information as established and required by official coding laws, regulations, rules, guidelines, and conventions. 2. Works cooperatively with Coding Support and/or CBO, in obtaining documentation to complete medical records and ensure optimal and accurate assignment of diagnosis & procedure codes. 3. Attendance, punctuality, and professionalism in all Coding and work-related activities. 4. Consistently assumes responsibility and displays reliability for completion of tasks, duties, communications, and actions. Completes tasks accurately, legibly, and in a timely fashion. 5. Performs other duties as requested/assigned by Director, Manager, Supervisor, or designee.
TIMELINESS OF AUDITING/CODING & PRODUCTIVITY 1. Maintains at minimum, expected productivity standards, and strives to maintain a steady level of productivity and provides consistent effort. 2. Works coding queues/task lists to ensure charges are released within defined timelines. 3. Assist other coders in performance of duties including answering questions and providing guidance, as necessary. 4. Assists Billing department, USC Care coding department, and other departments in addressing coding issues/questions and/or providing information so that an charges can be generated. Assists physicians, APPs, physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues/questions, as needed. 5. Assists in the monitoring unbilled accounts to ensure that the oldest records are coded and/or given priority.
POLICY & PROCEDURES; PERFORMANCE IMPROVEMENT 1. Consistently adhere to coding policies and procedures as directed by Coding management. 2. Demonstrates an understanding of policies and procedures and priorities, seeking clarification as needed. 3. Participates in continuously assessing and improving departmental performance. 4. Ability to communicate changes to improve processes to the director, as needed. 5. Assists in department and section quality improvement activities and processes (i.e. Performance Improvement).
COMMUNICATION 1. Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel. 2. Ability to communicate effectively intra-departmentally and inter-departmentally. 3. Ability to communicate effectively with external customers. 4. Provides timely follow-up with both written and verbal requests for information, including voice mail and email.
Performs other duties as assigned.
Required Qualifications:
Req High school or equivalent
Req Specialized/technical training Successful completion of college courses in Medical Terminology, Anatomy & Physiology and a certified coding course
Combined education/experience can substitute for Completion of Specialized/Technical Training Courses
Req 5 years Five (5) -years of experience in ICD-9 & ICD-10 (combined) coding and auditing of Professional charges, E/M, surgical, and multispecialty medical records in the clinic and hospital setting and experience in researching CMS regulations and guidance for documentation and coding.
Required Licenses/Certifications:
Req Certified Professional Coder - CPC (AAPC) AAPC Certified Professional Coder (CPC), OR AHIMA Certified Coding Specialist - Physician (CCS-P)
Req Successful completion of the professional specific coding test - with a passing score of ≥85%. *The coding test may be waived for former USC or agency/contract Coding Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code.
Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only).
The hourly rate range for this position is $33.00 - $54.02. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations, including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance, and with due consideration for patient and student safety. Please refer to the Background Screening Policy Appendix D for specific employment screen implications for the position for which you are applying.
We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at **************, or by email at *************. Inquiries will be treated as confidential to the extent permitted by law.
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$33-54 hourly Auto-Apply 60d+ ago
Compliance Auditor 2-Physician
City of Loma Linda 3.7
Auditor job in San Bernardino, CA
Shared Services: Compliance- (Full-Time, Day Shift) -
Job Summary: The Compliance Auditor-Physician monitors and audits established mechanisms and controls to ensure compliance with regulations. Audits the activities of various departments for compliance with plans, policies and procedures prescribed by management. Prepares and submits reports on the results of audits, recommending improvements in policies and procedures. Cooperates with outside auditors in any undertaking that may expedite their work. Performs other duties as needed. Conducts full range of physician-based audits/projects and develops partnerships with internal and external customers. Performs other duties as needed.
Education and Experience: Bachelor's Degree required. Master's Degree preferred. Minimum three years of experience in auditing within healthcare, compliance, regulatory oversight agency, quality management, quality assurance or business analysis.
Knowledge and Skills: Experience with Physician-based audits/projects required. Able to read; write legibly; speak in English with professional quality; use computer and software programs necessary to the position, e.g., Word, Excel, Power Point, Access. Able to prepare and deliver verbal and written presentations. Knowledge of compliance issues related to CMS and OIG pronouncements. Highly functional and well-demonstrated process skills. Demonstrated flexibility in project and initiative management, able to complete work with constantly moving deadlines and multiple priorities. Excellent verbal, written, and interpersonal skills required. Demonstrates diplomacy, tact, a professional demeanor and an ability to relate to people of diverse demographic backgrounds. Ability to work independently. Committed to continuous quality improvement in systems, processes and performance; consistently exercises a learning attitude and approach to all duties; Work calmly and respond courteously when under pressure; team oriented. Able to avoid conflicts of interest and always maintain confidentiality. Able to demonstrate problem solving and reasoning skills. Able to analyze and synthesize data. Able to work independently and collaboratively with others. Able to maintain current knowledge of rapidly changing coding rules and changing Medicare and Medi-Cal regulations through independent research and continuing education. Able to handle pressure, deadlines and interruptions. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.
Licensures and Certifications: Minimum one of the following certifications required: CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician-based).
$45k-53k yearly est. Auto-Apply 57d ago
Claims Auditor
Prokatchers LLC
Auditor job in Los Angeles, CA
The Specialty Health Plans Auditor III, Claims is responsible all aspects of planning, execution, reporting, and corrective action plans monitoring of claims processing compliance for specialty health plans and vendors.
Essential Duties and Responsibilities:
Performs annual claims audits for Specialty Health Plans and vendors.
Provides timely and accurate deliverables to ensure claims processing follow regulatory and contractual requirements for plan partners, participating provider groups, capitated hospitals, specialty health plans, and vendors.
$42k-62k yearly est. 1d ago
Audit Staff
Regal Executive Search
Auditor job in Irvine, CA
Currently we are seeking a few career minded Audit professionals with opportunities in our Firm's Irvine office We strive for an environment that values people first, develops leaders, and promotes integrity, respect, trust, and professionalism. We pride ourselves on an environment that encourages teamwork, motivates employees to succeed, and cultivates individuals who are concerned with the welfare of their clients as well as the communities in which they live and work.
We work hard, but taking time out to have fun and build relationships is also a significant part of our culture.
Some of the company events and activities we enjoy are an annual costume bowling tournament, family picnic, holiday party, end-of-tax-season party, and we sponsor employee teams that participate in various sports leagues and community events.
Desired Skills and Experience
Minimum qualifications include a BA or BS in Accounting or Finance
1+ years of recent public accounting experience.
Candidates need to possess an active California CPA license or are a current CPA candidate that has passed all 4 parts of the CPA exam.
If you are passionate about doing good work, want to work for one of the most respected and professional accounting firms in Southern California, and desire a firm that respects both your professional and life goals
Other Information:
Equal opportunity employer
To apply, send resume in word format with current salary for review and immediate interview.
$44k-56k yearly est. 60d+ ago
Experienced Staff Audit
Forth Recruiting
Auditor job in Los Angeles, CA
Experienced Staff Auditors can proficiently perform the functions of a staff accountant and can take on certain more complex assignments. Experienced staff is provided a wider variety of diversified accounting assignments under the supervision of different professionals. Performance assessment is based on the quality of work, application of auditing and accounting knowledge, and ability to promptly complete assignments.
Core Responsibilities
Perform accounting procedures, or assist in other projects, as assigned.
Understand the client's business and industry and accounting and control systems.
Developing an understanding of the company's approach.
Assessing risks and evaluating the client's internal control structure.
Performing and documenting analytical procedures, substantive tests, and tests of controls to identify and resolve accounting or reporting issues.
Reviewing or assisting in the drafting of financial statements and other client deliverables.
Supervising staff auditors as required.
Education and Qualifications
Bachelor's degree in accounting or a related major is required.
CPA License preferred, or
A demonstrated progress towards obtaining a license.
Having passed all four parts of the CPA exam is strongly preferred.
Must successfully pass a background check.
Must be currently authorized to work in the United States full-time.
Essential Functions
Prepare high-quality work products for supervisor review.
Demonstrate an understanding of increasingly complex tax concepts.
Build and maintain good client relationships.
Experience
1-2+ years of relevant work experience.
1-year minimum in Public Accounting.
Experience in construction, technology, manufacturing/distribution, and/or transaction services is preferred.
Knowledge, Skills, and Abilities
Ability to perform most phases of a client engagement, from planning to issuance.
Effectively utilize firm audit software and research tools to continually learn, share knowledge, and enhance the quality of service to clients.
Effective time management and organizational skills, including supervising more than one engagement at a time.
Can work independently and manage multiple assignments in a dynamic environment.
Participate in training, recruiting events, and firm activities.
A strong technical aptitude for accounting skills with proficiency in US GAAP and GAAS.
Ability to learn in a fast-paced environment and receptive to feedback and coaching.
Ability to multi-task, prioritize responsibilities, and take the initiative on projects.
High attention to detail.
Excellent verbal and written communication skills in a professional setting.
Ability to communicate clearly and concisely in English.
A positive attitude and a team player mentality, willing and eager to assist others with a can-do spirit.
Is committed to delivering the highest level of client service and willing to go the extra mile to meet deadlines.
Working Conditions
Ability to work overtime and weekend hours during peak busy periods to meet deadlines and partner and client expectations.
Health
Comprehensive 401(k) matching program.
Choice of HMO or PPO medical plans available.
Generous discounts are available under some plans for drugs and/or eye prescriptions.
Comprehensive vision plans available.
A choice of HMO or PPO dental plans.
Funded life insurance plans covering death/dismemberment. Additional coverage is available for purchase.
Flex spending plans available.
Gym membership subsidy.
Happiness
Casual dress environment.
Substantial professional development through ongoing training (an accredited employer with the AICPA and the ACCA).
A training department is dedicated to all your learning & CPE continuation needs.
Subsidized CPA examination fees & spot bonus.
Paid time off to study for the CPA.
Competitive compensation packages.
Generous paid time off policies.
Diverse client base to inspire and challenge you.
Mentorship opportunities through our resource group and buddy systems.
Beyond
Bonus payments for client or employee referrals.
Targeted kudos program providing firm-wide employee recognition and financial rewards.
Discounted movie tickets.
Structured volunteer and community care programs through a dedicated company program.
A generational task force that welcomes ideas and suggestions to enhance the workplace.
Structured internship programs to guide future college graduates.
Partner & director attendance at local college recruiting and class events.
Benefits
401(k).
HMO or PPO Medical.
Drugs Discount Plans.
Vision Plans.
HMO or PPO Dental.
Life Insurance.
Flex-spending.
Gym Membership.
Casual dress.
Professional Development.
CPE continuation training.
CPA exam fees & spot bonus.
Paid time off to study CPA.
Competitive compensation.
Generous PTO.
Diverse client base.
Mentorship opportunities.
Client or employee referrals bonuses.
Employee recognition and financial rewards.
Discounted movie tickets.
Welcomes ideas and suggestions to enhance the workplace.
$44k-56k yearly est. 60d+ ago
Staff Auditor
Consultative Search Group
Auditor job in Los Angeles, CA
Job Description
A large and prestigious business management firm seeks a Staff Auditor to join their dynamic team. This is an excellent opportunity for an audit professional with music industry experience.
Responsibilities:
The Auditor will assist an audit lead in performing royalty compliance procedures of record labels and publishers on behalf of our diverse client base which includes numerous artists and songwriters. Responsibilities will include supporting the team in auditing and documenting royalties for completeness, analyzing expense data, assessing contracts for potential claims and the preparation of a report of findings. Excellent verbal and written communication skills required as well as the ability to work with others.
Assist with the audit process for record label and publishing audits.
Summarize royalty statements.
Prepare databases and analyze large datasets using Excel and/or Access/SQL.
Assist in performing detailed tests of an auditee's books and records as deemed necessary on each audit.
Maintain and organize all documents.
Perform detailed analysis of reported royalties, identify underreported royalties and/or excess expenses.
Assist with identification of issues, prepare workpapers and claim schedules.
Communicate effectively with managers and auditees.
Conducting fieldwork procedures.
Qualifications:
1-2 years of music royalty and/or audit experience preferred
Bachelor's degree in Accounting or Business required
Benefits:
Firm offers a great variety of benefits and perks to our employees. Some of these include:
Medical, Dental and Vision coverage
Flexible Spending Account
Basic Life and AD&D
Voluntary Life and AD&D
Long Term Disability
Voluntary Critical Illness and Cancer, Hospital Indemnity and Accident Coverage
Genetic Screening and Cancer Support
Pet Insurance
Accrue 15 PTO days annually
401k, Match and Profit Sharing Plan
10 Paid Holidays and 1 Floating Holiday
Many of our job openings can be viewed at **********************************************
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Top 100 Firm and an 9-time recipient of Inside Public Accounting's Best of the Best Firms, with over 40 years of success in the market. Our firm consists of over 200 Accounting Rock Stars, and our talented teams consistently drive the success of our business through thoughtful strategy and creative problem solving.
Successful candidates should have the following:
• 1 -3 years of public accounting experience.
• Undergraduate or master's degree in Accounting or related field.
• Minimum overall and accounting GPAs of 3.2
• Should have completed, or is approaching completion, of CPA examination.
• A solid understanding of audit issues.
• Ability to utilize firm technology to enhance client service.
• Proficiency in Microsoft Office computer programs.
• Excellent written and oral communication skills.
A day-in-the-life basic overview includes:
• Managing, understanding and assisting with planning multiple audit assignments in several industries.
• Developing an understanding of client's business, and becoming a “functional expert” in the area
• Execute the day-to-day activities of audit engagements.
• Manage client engagements from start to finish, including managing the budget, planning, executing, directing staff and completing financial statements and audits
• Develop and maintain an excellent working relationship with all levels of client staff to increase customer satisfaction and to strengthen client relationships
• Preparing all necessary financial statement and related disclosures and reportable conditions letters, with an eye on quality, thoroughness and accuracy
• Identify and communicate technical matters to both clients and upper management.
• Utilize proactive, effective communication with management, staff and clients
• Ensures compliance with established internal control procedures by examining records, reports, operating practices, and documentation.
• Maintains internal control systems by updating audit programs and questionnaires; recommending new policies and procedures.
• Completes audit work papers by documenting audit tests and findings and conclusions.
• Performs accounting research and tests analytical procedures on financial data.
• Identifies audit issues and proposes strategies to resolve them.
• Communicates status of work and issues with seniors, managers or partners on a timely basis.
• Works with other members of a team on a variety of engagements.
• Develops strong relationships with firm and client personnel.
Something that should be noted: we offer market-leading benefits, and lots of fun, intangible perks (Quarterly Socials, Annual Ski/Camping trips, Catered breakfast, etc.).
$44k-56k yearly est. 60d+ ago
Staff Auditor
Consultative Search Group
Auditor job in Los Angeles, CA
A large and prestigious business management firm seeks a Staff Auditor to join their dynamic team. This is an excellent opportunity for an audit professional with music industry experience.
Responsibilities:
The Auditor will assist an audit lead in performing royalty compliance procedures of record labels and publishers on behalf of our diverse client base which includes numerous artists and songwriters. Responsibilities will include supporting the team in auditing and documenting royalties for completeness, analyzing expense data, assessing contracts for potential claims and the preparation of a report of findings. Excellent verbal and written communication skills required as well as the ability to work with others.
Assist with the audit process for record label and publishing audits.
Summarize royalty statements.
Prepare databases and analyze large datasets using Excel and/or Access/SQL.
Assist in performing detailed tests of an auditee's books and records as deemed necessary on each audit.
Maintain and organize all documents.
Perform detailed analysis of reported royalties, identify underreported royalties and/or excess expenses.
Assist with identification of issues, prepare workpapers and claim schedules.
Communicate effectively with managers and auditees.
Conducting fieldwork procedures.
Qualifications:
1-2 years of music royalty and/or audit experience preferred
Bachelor's degree in Accounting or Business required
Benefits:
Firm offers a great variety of benefits and perks to our employees. Some of these include:
Medical, Dental and Vision coverage
Flexible Spending Account
Basic Life and AD&D
Voluntary Life and AD&D
Long Term Disability
Voluntary Critical Illness and Cancer, Hospital Indemnity and Accident Coverage
Genetic Screening and Cancer Support
Pet Insurance
Accrue 15 PTO days annually
401k, Match and Profit Sharing Plan
10 Paid Holidays and 1 Floating Holiday
Many of our job openings can be viewed at **********************************************
l
The average auditor in La Habra, CA earns between $38,000 and $92,000 annually. This compares to the national average auditor range of $35,000 to $84,000.