Compliance Auditor Jobs

Job Details

Position Summary:
The Compliance Auditor is a professional level position working in Corporate Compliance and with departments, Directors, Managers, and Administrators throughout the health system. Responsibilities include planning and conducting compliance audits and reviews as per the annual compliance work plans, and resulting from reports of non-compliance made through the Integrity Line and other sources. The incumbent’s audit responsibilities include research, writing reports, interviewing, data analysis, recommending corrective action plans, staff education, and providing consultative services to the organization’s senior leadership, providers, and staff.

Minimum Requirements:
Three (3) years of experience in compliance, internal audit, hospital coding/billing, utilization review or other related environment
Or
Two (2) years of experience in a hospital coding, billing, utilization review, compliance, internal audit and/or related environment with a Master’s degree or with a professional designation such as CHC, CFE or CIA
Two (2) years of experience in compliance/billing auditing in a healthcare setting preferred
Systems experience, proficient with Excel, Word, PowerPoint and Outlook

Education/Licenses/Certifications:
Bachelor’s degree required, preferably in Healthcare related field, Accounting, or Finance
CHC (Certified in Healthcare Compliance), CFE (Certified Fraud Examiner), or CIA (Certified Internal Auditor) or commitment to start process for certification within first 100 days of employment