Medi-Cal Expert job – Catapult Consultants – Los Angeles, CA

Medi-Cal Expert

Catapult Consultants

5 reviews


Los Angeles, CA

This position works as an integral member of a multidisciplinary audit team for a federal government contract to perform audits of California Medicaid (Medi-Cal) to identify medical claim overpayments.

Full-time with benefits

Position is contingent upon contract award to Catapult (estimated award is 9/1/16-3/31/17)

Work location is an office to be determined in Los Angeles, CA or telework from a home office anywhere nationwide

Minimum Qualifications:
Bachelor’s degree required in Accounting, Finance, Healthcare, or Business-related field

10+ years of related full-time work experience, including at least 2+ years in a supervisory/management position

At least 5 years of experience working with the California Medicaid program (Medi-Cal), preferably in a supervisory/management position

Experience with healthcare compliance; Government Auditing Standards; program integrity; medical claims review process; as well as clinical documentation, coding, and billing

Intermediate knowledge of Microsoft Word, Excel, Outlook and PowerPoint

Highly-motivated & detail-oriented professional

Excellent analytical, organizational, verbal & written communication, and follow-up skills

One or more of the following certifications are a plus: Certified Professional Accountant (CPA), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Utilization Review (CPUR), Certified Professional Utilization Management (CPUM)

Responsibilities:
Research and interpret California Medicaid laws, regulations, guidelines and established State policies

Advise audit team and supervisory/management personnel on various aspects of the California Medicaid (Medi-Cal) program

Develop and present trainings on various aspects of the Medic-Cal program

Create standard operating and procedures and templates for use by the Medi-Cal auditors

Identify trends/themes in the inaccuracies and noncompliance of medical records and relation to the Medicaid guidelines

Identify trends/ themes in the sources of inaccuracies of claims

Interact with multidisciplinary team members and participate in weekly team meetings

Other duties as assigned

Abilities Required:

  • While performing the duties of this job the employee is regularly required to sit and use hands to finger, handle, or feel while typing at a computer keyboard.
  • The employee is occasionally required to stand, walk, reach, or lift objects up to 10 pounds.
  • The employee is frequently required to talk or hear. The vision requirements include: close vision.

About secureteam

secureteam
A Computer Programmer whose articles got mentions from the likes of The New York Times, Kissmetrics and AllTopStories. He writes articles, novels and poems; spends most of his time reading everything he could get his hands on. He is currently pursuing his Masters from The University of Illinois and holds a Bachelors in Electronics Engineering from the University of California. He is a programmer, a motivational writer and speaker.

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