Director of Internal Audits
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Job Location:
Monthly Salary:
Experience Required:
Posted on:
21 hours ago
Vacancies:
1 Vacancy
Job Summary
Director of Internal Audits
A healthcare organization is seeking an experienced Director of Internal Audits to provide strategic oversight of the internal audit function and ensure strong governance risk management and internal control practices across the organization. This role is responsible for developing and executing a comprehensive risk-based internal audit workplan with a strong emphasis on regulatory compliance billing integrity and healthcare coding standards.
This position requires a senior leader with deep healthcare audit experience strong regulatory knowledge and the ability to collaborate across clinical compliance and executive teams.
Position Overview
The Director of Internal Audits leads the organizations internal audit program providing independent and objective assessments of operational financial and regulatory risks. This role owns the Internal Audit Work Plan oversees audit execution and reporting partners closely with Compliance and executive leadership and ensures preparedness for external regulatory reviews.
Key Responsibilities
Audit Strategy & Governance
Own and maintain the Internal Audit Work Plan including audit scope frequency and sampling methodology
Ensure audits are performed and documented in accordance with internal standards and regulatory expectations
Design and execute annual and long-term audit plans aligned with organizational risk
Regulatory & Compliance Audits
Plan and oversee audits reviewed by regulatory bodies such as OIG and OMIG
Partner with Compliance Officers to support Compliance Work Plans and shared audit initiatives
Assess adherence to federal and state healthcare regulations CMS guidelines and billing requirements
Healthcare Coding & Documentation Oversight
Oversee audits of medical record documentation to identify undercoding and overcoding
Review audit findings and communicate results to physicians for education and compliance awareness
Research and respond to inquiries related to compliance coding issues denials and billable services
Leadership & Collaboration
Serve as the primary liaison between Internal Audit executive leadership and department heads
Prepare and present audit reports to Executive Management Compliance and Finance leadership
Lead mentor and develop internal audit staff; promote accountability and continuous improvement
Collaborate across departments including clinical operations informatics managed care and billing
Operational Excellence
Conduct risk assessments and support corrective action planning
Promote ethical practices transparency and strong internal controls
Stay current on regulatory coding and compliance changes through ongoing education
Requirements
Required Qualifications
Bachelors degree in Business Administration Healthcare Administration or related field
Minimum 57 years of auditing experience preferably in a healthcare environment
10 years of supervisory or leadership experience
Strong knowledge of CPT codes ICD-9/10 codes and CMS guidelines
Understanding of federal and state healthcare compliance regulations
Experience auditing medical documentation billing and coding practices
Skills & Competencies
Proven ability to lead and manage audit teams
Strong analytical investigative and problem-solving skills
Excellent written and verbal communication skills
Ability to manage multiple priorities in a fast-paced environment
High attention to detail with strict confidentiality standards
Proficiency with Microsoft Office and audit documentation tools
Strong project management and cross-functional collaboration skills
Required Skills:
5 to 7 years minimum experience in auditing preferably within a healthcare organization. 10 years experience minimum in a supervisor position.
Required Education:
High school diploma or GED degree in Business Administration Health Care Administration or related appropriate field required.
Company Industry
IT Services and IT Consulting
Key Skills
- Crisis Management
- Marketing
- Public Relations
- Fundraising
- Media Relations
- Constant Contact
- Strategic Planning
- Social Media Management
- Team Management
- Public Speaking
- Wordpress
- Writing Skills
