Healthcare Compliance & Audit Coordinator

LaSalle Medical Associates IPA; San Bernardino (CA); On-site; USD 40,000 - 46,000; Full time

Job summary

LaSalle Medical Associates IPA seeks a Compliance Coordinator for Claims Management to support regulatory compliance, audit readiness, and reporting within the Claims Department of the MSO. You will coordinate audits, prepare regulatory reports, and assist in developing corrective action plans to address findings.

The role ensures timely health plan reporting, supports delegated oversight, and maintains documentation to meet DMHC, DHCS, and CMS standards as applicable, while safeguarding

Qualifications

• Understanding of managed care claims processes and regulatory requirements.
• Experience supporting claims audits, delegated oversight, or regulatory reporting.
• Ability to maintain confidentiality and data integrity.

Responsibilities

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

Skills

DMHC / CMS knowledge

Regulatory reporting

Audit processes

Organizational skills

Written & verbal communication

Analytical skills

Microsoft Office Suite

Confidentiality & data integrity

Independent & collaborative work

Education

High School diploma or equivalent

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

Tools

EZ Cap

Microsoft Excel

Microsoft Word

Microsoft Access

Job description

LaSalle Medical Associates IPA seeks a Compliance Coordinator for Claims Management to support regulatory compliance, audit readiness, and reporting within the Claims Department of the MSO. You will coordinate audits, prepare regulatory reports, and assist in developing corrective action plans to address findings.

The role ensures timely health plan reporting, supports delegated oversight, and maintains documentation to meet DMHC, DHCS, and CMS standards as applicable, while safeguarding