Claims Compliance & Audit Coordinator

LSMA Management, Inc.; San Bernardino (CA); Hybrid; USD 55,000 - 75,000; Full time

Job summary

A healthcare management organization in California is seeking a Compliance Coordinator for its Claims Department. The role is responsible for supporting regulatory compliance, coordinating internal and external audits, and maintaining documentation for compliance with federal and state regulations. Candidates should have a High School Diploma, preferably an Associate’s or Bachelor’s degree, and at least two years of healthcare or compliance experience. Strong communication skills and proficiency in Microsoft Office Suite are essential.

Qualifications

• Minimum two years of healthcare administrative, claims, or compliance experience.
• Preferred three or more years of managed care experience.
• Knowledge of DMHC, CMS, and health plan requirements.

Responsibilities

• Support regulatory compliance and audit readiness within the Claims Department.
• Prepare and submit regulatory and health plan reports.
• Assist in developing corrective action plans for compliance deficiencies.

Skills

Knowledge of managed care claims processes and regulatory requirements

Excellent written and verbal communication skills

Strong organizational and documentation management skills

Proficiency in Microsoft Office Suite

Analytical and problem-solving skills

Education

High School Diploma or equivalent

Associate’s or Bachelor’s degree in Healthcare Administration or related field

Tools

EZ Cap

Job description

A healthcare management organization in California is seeking a Compliance Coordinator for its Claims Department. The role is responsible for supporting regulatory compliance, coordinating internal and external audits, and maintaining documentation for compliance with federal and state regulations. Candidates should have a High School Diploma, preferably an Associate’s or Bachelor’s degree, and at least two years of healthcare or compliance experience. Strong communication skills and proficiency in Microsoft Office Suite are essential.