Job Information
UCLA Health Pro-Fee Auditor and Trainer, Healthcare Compliance in Los Angeles, California
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.
The full annual salary range for this position is $105,200.00 - $250,600.00. Please note - the department's target pay range is $105,200.00 - $144,000.00.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.
UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.