Address
Form of workTitle:Senior Professional Auditor and Trainer
Location: Los Angeles, CA
Duration: 13 weeks with possibility of becoming a permanent employee
Shift: M-F 8-5
Required: Must have extensive exp with professional services auditing
Job Description:
- The Health Office serves both the David Geffen School of Medicine and the Health System. The primary mission of Client is to develop, implement, and oversee a comprehensive ethics and compliance strategy and program. This program is designed to ensure adherence to all applicable laws and regulations, identify and mitigate compliance violations, and promote ethical behavior throughout the Health system.
- As a Senior Professional Auditor and Trainer for the Office of you will provide support to the Professional Revenue Cycle Compliance Program Division.
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.
Required Experience:
- Must have CPC certification.
- Expertise in healthcare coding (CPT, ICD-10, HCPCS), with knowledge of professional billing, coding and documentation practices in inpatient and outpatient settings.
- Working knowledge of end-to-end revenue cycle components.
- Solid understanding of federal, state and local billing, coding, and documentation laws and regulations.
- Demonstrated knowledge of the essential elements of an effective compliance program. Excellent public speaking/presentation skills.
Preferred Experience:
- At least two years' experience working in an academic medical center environment with emphasis on professional compliance activities, including but not limited to: auditing, monitoring, investigation and training.
- Additional relevant certifications, such as CPMA.
- Advanced degree (e.g. BS in Healthcare Administration/Management/Clinical).
