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.
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.