Claims Compliance Coordinator: Audit & Regulatory Reporting

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

Job summary

LSMA Management, Inc. is seeking a Compliance Coordinator – Claims Management to support regulatory compliance, audits, and reporting within the Claims Department of the MSO.

You will coordinate internal and external claims audits, prepare regulatory and health plan reports, and assist in corrective action plans for audit findings and deficiencies. You will ensure timely health plan reporting, support delegated oversight, and maintain documentation to show compliance with DMHC, DHCS, and CMS

Qualifications

• Minimum: High School diploma or equivalent.
• Preferred: Associate’s or Bachelor’s degree in Healthcare Administration, Compliance, or related field.
• Minimum: Two years of healthcare administrative, claims, or compliance experience.

Responsibilities

• Coordinate internal and external claims audits and regulatory reporting.
• Prepare and submit required regulatory and health plan reports.
• Assist in developing corrective action plans for audit findings and compliance deficiencies.
• Maintain documentation and audit trails to demonstrate compliance with federal and California requirements.

Skills

DMHC knowledge

CMS knowledge

DHCS knowledge

Audit processes

Regulatory reporting

Documentation management

Microsoft Office

Education

High School diploma

Healthcare Administration degree

Compliance certification

Tools

EZ Cap

Excel

Access

Job description

LSMA Management, Inc. is seeking a Compliance Coordinator – Claims Management to support regulatory compliance, audits, and reporting within the Claims Department of the MSO.

You will coordinate internal and external claims audits, prepare regulatory and health plan reports, and assist in corrective action plans for audit findings and deficiencies. You will ensure timely health plan reporting, support delegated oversight, and maintain documentation to show compliance with DMHC, DHCS, and CMS