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Claims Quality Auditor
DescriptionTake on a key role within a world-class, award-winning health system. Ensure the efficient delivery of award-winning patient care. Take your career in an exciting new direction. You can do all this and more at UCLA Health.
You will be responsible for monthly random and focus audits of all claim processing activities to identify inaccurate claims adjudication. This will involve reviewing UB04 and CMS 1500 healthcare claims and adjustments for accuracy, and appropriate application claims adjudication, including CMS regulations, Department of Financial Responsibility provisions, Medicare Advantage Plan requirements, policies and procedures, and internal operation
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