Cedars-Sinai · 2 days ago
Outpatient Surgical and Claims Edit Auditor
Los Angeles, CA
Full-time
Onsite
Mid Level
$44.98/hr - $71.97/hr
3+ years expCedars-Sinai is a renowned medical institution recognized for its high-quality care and employee engagement. The Outpatient Surgical and Claims Edit Auditor is responsible for reviewing coding profiles, ensuring compliance with coding guidelines, and assisting with coding corrections to improve data quality and billing accuracy.
CommunitiesHealth CareMedicalNon Profit
Responsibilities
Performs quality coding reviews or audits within established departmental productivity and accuracy standards. Assists with processing re-bills post coding audit changes and assists with coding corrections needed from billing department
Provides written summary reports of findings
Coordinates and leads 1:1 or small group feedback sessions based on recommendations
Maintains appropriate open communication with internal and external partners and peer departments such as Coding Operations, Clinical Documentation Integrity (CDI), Payor Revenue Management (PRM), and Compliance Revenue Integrity (CRI)
Assist peer departments with production coding of cases during shortage of staff
Assist in improved data quality for reporting and research, accurate billing and reimbursement of services rendered which overall improves the quality of care for the patient
Provide 1:1 and small group education sessions, facilitate round table discussions, contribute content to the coding newsletter, provide basic level trending or data review for opportunities
Evaluate codes through data reports and trended opportunities, audit to validate findings, produce summary reports with recommendations of action plans
Perform additional activities (e.g. Data quality reports, etc.) as assigned by the Coding Supervisor
Qualification
Required
High school diploma or GED required
A minimum of 3 years of Coding Audit experience with auditing skills covering coding/billing accuracy of coding staff required
CCS, CPC, RHIA or RHIT required upon hire
Preferred
Degree in Health Information Management preferred
Benefits
Health and dental insurance
Paid vacation
403(b)
Company
Cedars-Sinai
Since its beginning in 1902, Cedars-Sinai has evolved to meet the healthcare needs of one of the most diverse regions in the nation, continually setting new standards for quality and innovation in patient care, research, teaching and community service.
10001+ employees
H1B Sponsorship
Cedars-Sinai has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (105)
2024 (91)
2023 (81)
2022 (92)
2021 (92)
2020 (65)
Funding
Current Stage
Late StageTotal Funding
$63.31MKey Investors
American Academy of Orthopaedic SurgeonsCalifornia HealthCare FoundationNational Heart, Lung and Blood Institute
2023-12-01Grant· $0.01M
2023-05-25Grant· $28M
2022-06-16Grant· $7M
Leadership Team
Thomas Priselac
President/CEO
David Wrigley
Executive Vice President Finance, CFO and Treasurer
Recent News
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2025-12-17
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