Internal Auditor, Compliance

Job Description:

POSITION SUMMARY

The Compliance Internal Auditor audit operations and service areas outlined in the annual Monitoring and Audit Workplan as outlined in the Board-approved Compliance Plan. This position evaluates adequacy of policies and procedures to ensure CMS requirements are documented.

GENERAL RESPONSIBILITIES

  • Conduct audits as outlined in the detailed monitoring and audit plan workplan under the supervision of the Compliance Officer.
  • Collect audit evidence by executing audit programs, gathering information, examining documentation, re-performing critical activities and observation.
  • Interview and work with business personnel in order to document and evaluate their processes.
  • Evaluate the adequacy of the Medicare regulations compliancy all processes and systems audited.
  • Identify gaps, weaknesses and deficiencies and/or business productivity/efficiency opportunities.
  • Perform ad hoc review/ investigation assigned by the Compliance Officer,
  • Utilize purchased software tool that tracks Medicare audit element compliance.
  • Train department owners to develop and interface corrective action plans for identified gap, weaknesses or deficiencies in purchased software tool.
  • Monitor reports that track compliancy status with Medicare audit elements.
  • Develop recommendations for improvement which can be effectively implemented by management given the existing business, compliance risks and other cost/benefit considerations.
  • Communicate audit results in both written reports and verbal discussion with Compliance Officer.
  • Follow-up with management to ensure the effective implementation of audit recommendations.
  • Facilitate development or updates of policies and procedures when Medicare guidance or regulations gaps are identified.
  • Participate in special projects as required.

    REQUIRED EDUCATION AND EXPERIENCE
  • CMS or Medicare/Medicaid regulatory knowledge preferred.
  • Bachelors Degree in Accounting, Finance, or Business preferred.
  • Minimum 4 years of internal audit or Medicare/Medicaid experience

    REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES
  • The ability to understand and audit complex business processes and systems.
  • Excellent oral and written communication skills.
  • Ability to work on several projects at a time.
  • Healthcare industry experience preferred.
  • Proficient with MS Office; Excel, Word, Outlook, Visio, SharePoint

    We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing.



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