Job Abstract

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.

• 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.