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Medical Auditor

Prime Healthcare Services • Encino, CA, US • published 2026-10-10 03:03:06.989847

Description

Job Summary We are seeking a highly motivated and detail\-oriented Medical Auditor to join our healthcare compliance team. In this pivotal role, you will evaluate medical records, billing practices, and documentation to ensure adherence to regulatory standards and internal policies. Your expertise will help maintain the integrity of healthcare services, support quality improvement initiatives, and ensure compliance with federal and state regulations. This position offers an exciting opportunity to contribute to the enhancement of healthcare quality and compliance in a dynamic environment. Responsibilities * Review and analyze medical records, billing data, and coding documentation to verify accuracy and compliance with HIPAA, ICD\-9, ICD\-10, CPT coding standards, and other relevant regulations. * Ensure adherence to Medicare, Medicaid, CMS (Centers for Medicare and Medicaid Services), JCAHO (Joint Commission on Accreditation of Healthcare Organizations), and FDA (Food and Drug Administration) regulations. * Conduct audits of electronic health records (EHR) and electronic medical records (EMR) systems to identify discrepancies or areas for process improvement. * Collaborate with he...

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