University of California

  • Emeryville, CA, United States
University of California Los Angeles, CA, USA
Description Support compliance excellence at UCLA Health by joining our team as a Compliance Auditor, MAPD, focused on Medicare Advantage (Part C) and Prescription Drug (Part D) programs. In this vital role, you will conduct Risk Adjustment Data Validation (RADV) audits, compliance risk-based audits, support external audit coordination, and ensure alignment with CMS and DMHC regulations across the organization. Reporting to the Compliance Manager, MAPD Audit, you will contribute to the organization's audit work plan, assess operational risk areas, and prepare audit findings that help guide regulatory readiness and operational improvement. This position calls for a strong foundation in CMS guidelines, managed care compliance, and effective collaboration with both internal teams and external partners. In this role, you will: Conduct compliance audits related to operational functions, vendor performance, data validation, RADV, Triennial Review, pre-delegation reviews, and...

University of California San Francisco, CA, USA
Medical Assistant Supervisor 2 Infusion Center Full Time 87039BR Job Summary Under supervision of the Nurse Manager, guided by policies and procedures of the Ambulatory Services, and in collaboration with the Clinical Nursing Staff, the Medical Assistant Supervisor works independently and has primary responsibility for the supervision of the medical assistant staff. He/she will be responsible for supervising the operational, human resource, and clinical competency skills of the medical assistants who work in the practice, including staff schedules. Coordinates and assigns lunches and breaks for all MA staff, and re-assigns tasks when other MA's are absent. Approximately 25 % of time is spent on administrative activities. The MA Supervisor oversees the clinic flow ensuring an efficient, well-run operation paying attention to room utilization, wait times and provider productivity. As a working supervisor he/she also assists in the delivery of care to patients in the...

University of California Los Angeles, CA, USA
Description Play a key role with a world-class health organization. Help ensure the operational efficiency of a complex health system. Take your professional expertise to the next level. You can do all this and more at UCLA Health. You will be responsible for coding diagnoses and procedures for assigned cases. This will involve using your knowledge of UCLA, AHA - Coding Clinic, and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, and pathological basis of disease, documented treatment, and procedures. You will assign ICD-10-CM/PCS and CPT/HCPCS codes for patients receiving our services while correctly assigning DRGs for all patients to assure accurate reimbursement and the highest quality data possible. You will abstract all coded data in a timely and accurate manner into the abstracting system. Salary Range: $59.80/hourly - $74.35/hourly Qualifications We're seeking an independent, detail-oriented, self-directed individual with: Associate...