Facility Auditor and Trainer, Healthcare Compliance

3 weeks ago


Los Angeles, United States UCLA Health 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 Senior Hospital Auditor and Trainer within the Office of Compliance Services (OCS), you will play a pivotal role in collecting, collating, and analyzing hospital data to identify potential compliance risks or areas of non-compliance. Primary duties include: - Developing audit tools for various hospital compliance audits. - Conducting coding, billing, and other hospital compliance audits. - Serving as an expert-level liaison for hospital compliance inquiries. - Providing comprehensive training and education to the UCLA Health workforce on hospital compliance issues. 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**:

- Possess a certification in RHIA, RHIT, and/or CCS - Minimum of 5 years' experience in a hospital coding, billing, utilization review, compliance, or related environment. - Experience reading, comprehending, and implementing state and federal regulations, payer program memoranda, and other complex, technical, and/or legal documents. - Working knowledge of hospital coding and billing principles and practices, including familiarity with ICD-10-PCS, ICD-10-CM, and CPT diagnostic and procedure codes, and Medicare prospective payment systems (e.g., inpatient, outpatient, and home health). - Excellent public speaking/presentation skills.


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