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Form of workJob Description
Software Guidance & Assistance, Inc., (SGA), is searching for an Sr Hospital Auditor and Trainer for a Contract to Hire assignment with one of our premier Healthcare clients in Los Angeles, CA .
Responsibilities :
- I n our Office of Compliance Services (OCS), our Senior Hospital Auditor and Trainer will be responsible for collecting, collating, and analyzing hospital data to identify compliance risks or areas of potential non-compliance.
- In this role, you will develop audit tools to perform various types of hospital compliance audits. In addition, you will provide coding, billing and other compliance audits as directed and analyze and summarize audit findings in a clear precise manner.
- Acting as an expert-level liaison for hospital compliance queries conducted thorough accurate research, you will provide training and education to the UCLA Health workforce on hospital compliance issues.
Required Skills:
- 5+ years' experience in a hospital coding, billing, utilization review, compliance, and/or related environment required
- Working knowledge of hospital coding and billing principles and practices required, including knowledge of ICD-10-PCS, ICD-10-CM; and CPT diagnostic and procedure codes, and Medicare prospective payment systems (including inpatient, outpatient, and home health)
- Experience reading, comprehending and implementing state and federal regulations, payer program memorandum, and other complex, technical and/or legal documents
- E xperience reviewing, analyzing, and summarizing data in Excel and PowerPoint required
SGA started in 1981 as a Wall Street / Financial Industry focused IT Resource Solutions company. Throughout growth and expansion into more vertical industries across North America, we’ve built internal teams and processes to best match the needs of each client and each vertical. Read on for insight on the Industries We Serve and the Core Competencies currently supported.
