Claims Compliance & Audit Coordinator

LSMA Management Inc; San Bernardino (CA); On-site; USD 40,000 - 46,000; Full time

Job summary

LSMA Management Inc in California is seeking a Compliance Coordinator for Claims Management to support regulatory compliance, audit readiness, and reporting within the Claims Department of the MSO. You will coordinate internal and external claims audits, prepare regulatory and health plan reports, and help develop corrective action plans to address findings.

You will ensure timely submission of health plan reporting, support delegated oversight, and maintain documentation and audit trails to

Qualifications

• Minimum: High School diploma or equivalent.
• Two years of healthcare administrative, claims, or compliance experience.
• Preferred: CPCO or CHC certification.

Responsibilities

• Support regulatory compliance, audit readiness, and reporting within the Claims Department of the MSO.
• Coordinate internal and external claims audits and assist in corrective action plans.
• Prepare and submit required regulatory and health plan reports and maintain audit trails.

Skills

Regulatory knowledge

Audit processes

Documentation

Communication

Analytical skills

MS Office

EZ Cap familiarity

Education

High School diploma

Associate's or Bachelor's in Healthcare Admin / Compliance

Tools

EZ Cap

Job description

LSMA Management Inc in California is seeking a Compliance Coordinator for Claims Management to support regulatory compliance, audit readiness, and reporting within the Claims Department of the MSO. You will coordinate internal and external claims audits, prepare regulatory and health plan reports, and help develop corrective action plans to address findings.

You will ensure timely submission of health plan reporting, support delegated oversight, and maintain documentation and audit trails to