Auditor and Trainer, Healthcare Compliance - Los Angeles, United States - UCLA Health

    UCLA Health
    UCLA Health Los Angeles, United States

    1 month ago

    Default job background
    Full time
    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, $250,600.

    00/year
    QualificationsAlong 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.