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2 results for It Auditor Technology in Santa Clara, CA
- Oakland, CA
- onsite
- Temporary
- 35 - 45 USD / Hourly
- Unlock Your Next Career Move: Claims Auditor/Trainer Are you meticulous, compliance-driven, and passionate about streamlining healthcare operations? Robert Half is recruiting for a Claims Auditor/Trainer to ensure claims are processed accurately, meet legal standards, and enhance staff knowledge of benefit requirements and regulations. Key Responsibilities: Claim Auditing & Compliance: Conduct audits of processed claims (paid, pending, denied) to verify accuracy in medical coding (ICD-10, CPT, HCPCS), benefit application, and compliance with California's Knox-Keene Act and Medi-Cal regulations. Training & Staff Development: Develop and deliver training for Claims Examiners, including creation of educational materials on workflows, policy updates, and new technologies. Research & Issue Resolution: Investigate complex claim issues, provider disputes, and appeals; identify root causes for systemic issues and recommend corrective actions. Reporting & Data Analysis: Track and report statistical data on MSO quality and production. Prepare regular reports for management. Regulatory Liaison: Maintain current knowledge of state and federal billing laws (CMS/Medicare) to ensure compliance and readiness for audits. **Other duties as assigned by senior management. If you are a detail-oriented detail oriented with experience in claim auditing, training, and regulatory compliance, we want to hear from you! Apply today and call us at (510) 470-7450 to take the next step in your career with Robert Half. Ready to make an impact? Apply now!
- 2026-03-07T00:00:00Z
- Oakland, CA
- onsite
- Temporary
- 35 - 45 USD / Hourly
- Unlock Your Next Career Move: Claims Auditor/Trainer Are you meticulous, compliance-driven, and passionate about streamlining healthcare operations? Robert Half is recruiting for a Claims Auditor/Trainer to ensure claims are processed accurately, meet legal standards, and enhance staff knowledge of benefit requirements and regulations. Key Responsibilities: Claim Auditing & Compliance: Conduct audits of processed claims (paid, pending, denied) to verify accuracy in medical coding (ICD-10, CPT, HCPCS), benefit application, and compliance with California's Knox-Keene Act and Medi-Cal regulations. Training & Staff Development: Develop and deliver training for Claims Examiners, including creation of educational materials on workflows, policy updates, and new technologies. Research & Issue Resolution: Investigate complex claim issues, provider disputes, and appeals; identify root causes for systemic issues and recommend corrective actions. Reporting & Data Analysis: Track and report statistical data on MSO quality and production. Prepare regular reports for management. Regulatory Liaison: Maintain current knowledge of state and federal billing laws (CMS/Medicare) to ensure compliance and readiness for audits. **Other duties as assigned by senior management. If you are a detail-oriented detail oriented with experience in claim auditing, training, and regulatory compliance, we want to hear from you! Apply today and call us at (510) 470-7450 to take the next step in your career with Robert Half. Ready to make an impact? Apply now!
- 2026-03-07T00:00:00Z