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CRB Compliance Auditor & Trainer 8/12/2016

University of California - Los Angeles Medical Centers Los Angeles, CA

Company
University of California - Los Angeles Medical Centers
Job Classification
Full Time
Company Ref #
H85352
AJE Ref #
575862212
Location
Los Angeles, CA
Experience
Mid-Career (2 - 15 years)
Job Type
Regular
Education
Bachelors Degree

JOB DESCRIPTION

APPLY
Job Title:
CRB Compliance Auditor & Trainer

UCLA Title:
Specialist

Job No.:
H85352

Work Hours:


Work Location:
B of A Bldg. Suite 810

Job Type:
Career

Duration:
Indefinite

Minimum Salary:
$36.88 / $6417

Maximum Salary:
$71.84 / $12500

Layoff Referral Deadline:
11/25/2016

Bargaining Unit:
99



JOB DUTIES:

Under the direct supervision of the Manager of Clinical Research Billing Compliance, this position is primarily responsible for the monitoring and auditing of clinical research billing activities at UCLA Health System to help ensure compliance with applicable statutes, laws, rules, regulations and policies.



Additional responsibilities include, but are not limited to:

Assist on preparing regular and ad hoc reports and/or dashboards on compliance activities in support of clinical research billing functions

Assist on compiling, updating and revising policies and procedures to help ensure optimal management of and oversight of clinical research billing functions

Assist in monitoring the effectiveness of compliance activities related to clinical research billing

Assist in monitoring compliance with applicable statutes, laws, rules, regulations and policies affecting PHI of study participants

Assist on preparing and conducting educational and training programs related to clinical research billing compliance

Collaborate and communicate with other entities or units within UCLA Health System on matters related to clinical research billing compliance



JOB QUALIFICATIONS:

Bachelor s degree from an accredited institution in a related field or equivalent credentials

Proficiency in clinical research billing

Proficiency in healthcare coding (CPT, ICD-9/ICD-10, DRG, HCPCS)

Three years of experience in an academic medical center environment or equivalent setting with emphasis on clinical research operations

Excellent oral and written communication skills

Excellent organizational and analytical skills

Excellent attention to detail

Certification as CCRP or CHRC preferred



Knowledge and understanding of federal and state statutes, laws, rules and regulations affecting the provision and reimbursement of healthcare services, particularly clinical research billing, grant funding and management

Knowledge and understanding of the Medicare Clinical Trial Policy (CTP) and Medicare Coverage Analysis

Knowledge and understanding of hospital and professional billing, coding and documentation practices in inpatient and outpatient settings

Detailed knowledge of clinical research billing, coding and documentation practices in inpatient and outpatient settings

Working knowledge of clinical research processes

Working knowledge of electronic billing and medical record systems

Working knowledge of anatomy and physiology

Working knowledge of sampling methodologies and statistical analyses

Ability to effectively communicate in a public forum or group setting

Ability to conduct effective and accurate regulatory research and analysis

Ability to develop and implement automated processes to organize complex data

Ability to establish and maintain excellent professional and effective relationships with internal and external entities

Ability to deal effectively with ambiguity

Ability to appropriately prioritize work responsibilities and effectively manage fluctuating workload demands

Ability to perform analytical tasks and accurate calculations



Complete Application