Description
UCLA Health is committed to complying with applicable laws and regulations to promote the integrity of the organization as a leading academic health system.
This ties to our commitment of providing quality care to all patients and maintaining a safe and fair learning and work environment.
As a Professional Auditor and Trainer, you will help further our mission by providing all UCLA Health workforce members with high-quality education and resources.
Primary duties include: Auditing and Monitoring: • Independently complete assignments, manage risk-based audits and projects, perform regulatory research, investigations, participate in the claims review process.
• Perform Quality Assurance reviews.
• Raise instances requiring corrective action to department leadership.
Training and Education: • Research complex billing, coding and regulatory topics; develop and update existing training materials.
• Organize and design training events.
• Conduct presentations and trainings/educational sessions independently.
Investigations: • Collect and analyze documentation, participate in interviews and maintaining relevant work papers.
• Record all findings, results, and data related to investigations in department GRC database and share information as appropriate.
• Draft, present as requested, the investigation report.
Salary Range: $105,200.
00 - $250,600.
00/year
Qualifications
Along with the Certified Professional Coder (CPC) certification, we are seeking individuals with: • Expertise in healthcare coding (CPT, ICD-10, HCPCS), with knowledge of professional billing, coding and documentation practices in inpatient and outpatient settings.
• Working knowledge of end-to-end revenue cycle components.
• Solid understanding of federal, state and local billing, coding, and documentation laws and regulations.
• Demonstrated knowledge of the essential elements of an effective compliance program.
• Excellent public speaking/presentation skills.
Whatsapp
