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.

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.