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.