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The Office of Compliance Services is seeking to hire a Senior Professional Auditor and 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 leadershipTraining and Education•Research materials and methods, developing training materials, updating or modifying existing materials•Organize and design training events; prepare and present completion reportsInvestigations•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
•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
UCLA is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.
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