Director of Internal Audits
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Job Location:
Melville, NY - USA
Monthly Salary:
Not Disclosed
Posted on:
4 days ago
Vacancies:
1 Vacancy
Job Summary
Job Title: Director of Internal Audits
Location: Melville NY (Onsite)
Employment Type: Direct Hire
Compensation: $141000 - $150000 annually
Important Note: We are considering only US Citizen or Green-card holders
Job Summary
The Director of Internal Audits provides strategic oversight of the organizations internal audit function ensuring comprehensive risk-based audit coverage and delivering independent objective evaluations of governance risk management and internal control systems. This role owns the Internal Audit Work Plan and leads operational and regulatory compliance audits within a healthcare environment aligning with federal and state requirements.
Essential Job Functions & Responsibilities
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Provide leadership and oversight to ensure audit work is performed and documented in accordance with departmental standards and regulatory requirements.
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Develop own and manage the Internal Audit Work Plan including audit scope frequency sampling methodologies and timelines.
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Plan and execute audits aligned with Office of Inspector General (OIG) and Office of the Medicaid Inspector General (OMIG) work plans to ensure organizational compliance.
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Assign audit activities monitor progress against benchmarks and ensure timely completion of audit deliverables.
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Serve as the primary liaison between Internal Audit executive leadership division heads and compliance stakeholders.
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Collaborate with Compliance Officers to design and execute audits included in Compliance Work Plans.
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Oversee medical record documentation audits to identify under-coded or up-coded services; review findings and communicate results to physicians for education and compliance awareness.
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Prepare and present clear timely audit reports for Executive Management Compliance Officers and the Chief Financial Officer.
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Research analyze and respond to inquiries related to compliance coding accuracy denials and billable services.
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Partner with physicians business offices provider enrollment managed care informatics and other departments to ensure accurate billing documentation and adherence to policies and regulations.
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Design annual audit plans and conduct enterprise risk assessments; recommend corrective actions and monitor remediation.
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Lead mentor and develop internal audit staff fostering accountability professional growth and a continuous improvement culture.
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Promote ethical practices transparency and audit readiness across the organization.
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Stay current on regulatory and coding updates through conferences workshops and professional development activities.
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Perform other related duties as assigned.
Education & Experience
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High School Diploma or GED required.
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Bachelors degree in Business Administration Health Care Administration or a related field required.
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Minimum 5-7 years of auditing experience preferably within a healthcare organization.
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Minimum 10 years of supervisory or managerial experience including leading audit teams.
Required Skills & Abilities
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Strong leadership and team management capabilities.
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In-depth knowledge of CPT codes and ICD-9/10 coding systems.
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Thorough understanding of CMS guidelines and federal and state healthcare compliance regulations.
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Knowledge of anatomy and medical terminology.
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Strong analytical interviewing and investigative skills.
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Ability to manage multiple priorities while maintaining confidentiality.
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Proficiency in Microsoft Office Suite (Word Excel PowerPoint).
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Excellent written and verbal communication skills including executive-level reporting.
Work Environment
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Onsite role requiring full-time presence.
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Collaboration across clinical financial compliance and executive teams.
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Fast-paced healthcare environment with high regulatory oversight.
Required Skills:
BUSINESS ADMINISTRATIONWORD
Key Skills
- Crisis Management
- Marketing
- Public Relations
- Fundraising
- Media Relations
- Constant Contact
- Strategic Planning
- Social Media Management
- Team Management
- Public Speaking
- Wordpress
- Writing Skills
