Lead Internal Auditor Compliance (RN)
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Job Location:
Indianapolis, IN - USA
Monthly Salary:
Not Disclosed
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
Join Community
Community Health Network was created by our neighbors for our neighbors. Over 60 years later community is still the heart of our organization. It means providing our neighbors with the best care possible backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all it means exceptional care simply delivered and we couldnt do it without you.
Make a Difference
The Lead Internal Auditor (Compliance RN) works under the general supervision of the Manager of Internal Audit Physician Coding and Compliance and assists in reviewing various healthcare functions with particular emphasis on compliance with coding billing and medical record documentation requirements for hospitals physician practices home health long-term care surgery centers and more.
Responsibilities include determining audit scope developing audit plans evaluating audit evidence and drawing conclusions based on billing and federal/state regulations. This individual may also provide guidance or expertise to less experienced auditors on clinical/compliance issues and will draft audit reports to effectively communicate scope work performed results and proposed action plans.
Exceptional Skills and Qualifications
Applicants for this position should be able to collaborate with others in a team setting have excellent communication skills and a positive attitude toward problem-solving.
Bachelor of Science in Nursing (BSN) is required.
In lieu of degree a combination of education and experience will be considered.
Minimum of five (5) years in healthcare auditing and/or internal control documentation and evaluation.
Minimum of three (3) years as a Registered Nurse.
Knowledge of coding/billing systems utilized in healthcare (CPT HCPCS ICD-10) and documentation/regulatory requirements for billing healthcare services.
Certified Internal Auditor (CIA) or Certified Coding Specialist (CCS) certification preferred.
This position will allow flexibility to work remotely. Community caregivers performing work remotely are permitted to live in the following states: Indiana Illinois Ohio Michigan Kentucky Florida and Texas. Caregivers are not allowed to perform work remotely outside of the above states. Applicants from other states may apply; however if hired they will be required to relocate to one of the above states within 60 days of their employment date.
Prerequisite Skills
Effective written and verbal communication skills.
Strong planning analytical organizational and business skills.
Knowledge of healthcare systems including coding and reimbursement expertise.
Project management expertise.
Perform audits to evaluate adequacy and effectiveness of internal controls.
Recommend improvements to ensure compliance and financial integrity.
Develop and refine audit programs; execute audit tests and interpret results.
Draft clear persuasive reports of findings and recommendations present to leadership.
Lead direct and supervise other auditors; serve as a resource for team members.
Ability to work independently and collaboratively as part of a team.
Key Skills
- ISO 27001
- Data Analytics
- Financial Services
- COSO
- Process Improvement
- Accounting
- Visio
- COBIT
- NIST Standards
- SOX
- Internal Audits
- Data Analysis Skills
About Company
Community Health Network was created more than 60 years ago by our neighbors, for our neighbors. We've never forgotten that heritage that began with Community Hospital East. To this day, we're still locally based and locally controlled, and we're as closely tied to our communities as ... View more
