Senior Professional Auditor & Trainer

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Tue Nov 23, 2021 4:08 pm

UCLA Health is looking for a Senior Professional Auditor & Trainer

Job Summary

The Office of Compliance Services is seeking to hire a Senior Professional Auditor & Trainer. In this key role, you will provide support to the work plan and compliance functions of the Professional Revenue Cycle Compliance Program Division. Primary duties include:

Participate in annual compliance risk assessment and completes defined work plan items:
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 materials and methods, developing training materials, updating or modifying existing materials
        • Organize and design training events; prepare and present completion reports
        Investigations
        • Collect and analyze documentation, participate in interviews and maintaining relevant work papers
        • Record all findings, result and data related to investigations in department GRC database and share information as appropriate
        • Draft, present as requested, the investigation report
        Job Qualifications
        • CPC certification required, with additional certification such as CPMA preferred
        • Two years of experience working in an academic medical center environment with emphasis on professional compliance activities, including but not limited to: auditing, monitoring, investigation and training - strongly preferred
        • Advanced degree preferred (e.g. BS in Healthcare Administration/Management/Clinical
        • Demonstrated expertise in medical terminology, including anatomy and physiology
        • Demonstrated expertise in healthcare coding (CPT, ICD-10, HCPCS), with knowledge of professional billing, coding and documentation practices in inpatient and outpatient settings
        • Demonstrated expertise in 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 ability to communicate in writing and speaking
        • Strong organizational skills and task management
        To learn more and apply, visit: https://www.uclahealthcareers.org/job/1 ... ngeles-ca/
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