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Posted on May 17
This is a growth opportunity for a person with a solid healthcare compliance background. The successful candidate should have a consultative / process improvement mind set and willing to engage with managers across various clinical departments.
Why this opportunity?
It is a position with high visibility and the opportunity for growth and development. The role offers an opportunity to prepare for continued growth in leadership. The company is expanding operations and offers an environment that focuses on employee development. The Audit Manager role is a new position and an opportunity to develop strategic plans and drive positive change in a large university affiliated system.
The Manager of Audit is responsible for managing the corporate internal audit and compliance audit functions. He / She manages and conducts financial, operational, information systems and compliance audits of the company for the purpose of ensuring that internal controls are adequate; the corporation is conducting its business in accordance with laws and regulations; assets are properly recorded and accounted for; policies and procedures are adhered to and that resources are being used in an efficient manner; and physician or other billing activities are being conducted in accordance with third-party rules, regulations and within the constraints of company policies. He/She plans and executes audits with and without assistance of staff, reports audit findings, and makes recommendations for correcting unsatisfactory conditions, improving operations, and reducing risk.
Essential Functions of the Job:
Manages and guides activities of the compliance and internal audit staff which includes assignment of projects, review of audit work papers, reports and other evidential matter and completion of projects within the established time budgets.
Works with the Director to prepare the annual risk assessment, the annual audit plan, and 3 year strategic plan that is responsive to management’s needs
Conducts and reports on internal reviews and investigations to the Director of Audit & Billing Quality, clinical departments and governance committees as deemed appropriate.
Oversees management’s formal responses to audit findings and recommendations to ensure that the actions planned will address the deficiencies and advise management of those responses that do not adequately address the issues.
Manages/ensures regulatory audit response and education in coordination with Senior Compliance Auditor, Educators, and Compliance Coding and Billing Specialist
Along with Compliance Senior, assists the Director with global charge view and risk information modeling initiatives
Reviews work papers of the Compliance and Financial Audit teams and coaches audit team members on sufficient and competent evidentiary matter as well as issue resolution.
Performs and manages all audit activity to ensure a consultative and solutions based approach.
Ensures Compliance Audit Team coordination with Billing Quality Educators.
Manages and maintains all Audit Issue Logs, Education Requests Log, and Disclosures Log to ensure issues are investigated and have appropriate follow-up and resolution.
Prepares reports for the Audit Committee and/or the Billing Quality Oversight Committee, as applicable, and recommends improvements / solutions, guidance, and remedies.
Advises and works with clinical departments and UPG management on resolving internal control, compliance and other operational issues.
Assists Director in coordination of annual independent audit.
What is needed from you?
Must be a U.S. citizen or current green card holder.
CPA or CIA preferred
CPC, CCS-P and/or CHC preferred
Continuing training in the auditing field/standards and healthcare industry is necessary.
Minimum of 5 years of professional
experience as an auditor in the healthcare industry.
managing and/or supervising an audit staff.
compliance audit and physician billing.
Experience with data extraction, analysis, and modeling tools a plus.
Information systems audit or other related experience a plus.
Knowledge and skills:
Excellent understanding and
knowledge of physician billing
and healthcare compliance.
Excellent oral and written communication skills.
Intermediate to advanced word processing, spreadsheet, and database software knowledge and personal computer skills.
Experience using Microsoft Office tools.
Experience using computerized audit tools such as ACL or IDEA a plus.
This position will have exempt and non-exempt positions reporting to it.
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