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.