Financial Compliance Auditor - Compliance
Company: The Christ Hospital Health Network
Posted on: November 11, 2019
Title: Financial Compliance AuditorShift: Full-Time, DaysThis
position will be scheduled in the Compliance Department at The
Christ Hospital main campus, 2139 Auburn Avenue, Cincinnati, Ohio
45219.Job Overview: The Auditor is responsible to carry out and
implement the Departments work plan, including risk assessments,
audits, control testing, and effectiveness reviews. The Auditor
educates management, physicians and TCHHN employees on principles
of compliance, ERM and internal controls. The Auditor follows
policies and procedures that promote the goals of the Department
and facilitates effective audits, monitors, and reporting to
management. The Auditor maintains superior Excel data base skills
to assure efficiencies in production of audits and data analysis.
The Auditor performs and evaluates processes for control
effectiveness, and designs audit test plans to review high risk
processes and billing. The Auditor performs audits investigations
and reviews that effectively measure controls. The Auditor makes
recommendations to management on internal control and process
effectiveness, via written report and verbal interactions. The
Auditor maintains audit and other data bases and participates in
Committee meetings with management; and facilitates interactions to
educate on controls and monitors. The Auditor is responsible for
assigned accountabilities related to department data bases and
reviews, for example-HIPAA, remuneration, coding, and refunds. The
Auditor is knowledgeable of applicable regulations; audit
principles and controls and communicates effectively and works
collaboratively with TCHHN stakeholders.The Financial Compliance
Auditor may perform the following duties:
- Implements and executes the Department work plan as assigned.
Is responsible to plan due dates, events and meetings, carrying out
work plan duties in an independent timely manner to meet deadlines.
Takes initiative to research regulatory and other factors impacting
objective and scope and assures completion of tasks. Maintains data
base and reports on progress periodically or as assigned.
- Carries out the assigned work plan tasks, audits and other
activities. ; calendarizes work plan events and due dates.
Recommends audit scope in conjunction with the Compliance, ERM, IA,
and Department management and develops risk assessments,
investigations, and audit objectives in comportment with the plan.
Performs audits and testing to validate internal control
effectiveness. Prepares succinct and complete audit reports of
findings, timely communicates findings to management and develops
follow up procedures to test action plan effectiveness. Effectively
and proficiently utilizes Excel to create data bases, to perform
data aggregation and mining; maintains organized work files.
- Provide guidance to management, medical staff and employees in
areas of compliance pertinent to the audit or subject of review or
as inquiries come in. Maintains competencies in regulatory
requirements, laws and standards, and independently maintains
working knowledge of audit procedures standards, including sampling
techniques, testing standards and reporting standards. Makes
reliable independent analysis and judgement calls to determine
findings and provides thoughtful and practicable recommendations
for action planning to management.
- Effectively communicate both orally and in writing with
management and associates and physicians with a can-do attitude.
Takes responsibility to assure impacted parties to an audit or
review are in the communications loop; and plans-performs a
pre-conference prior to the audit and a post-conference action plan
review upon completion of the audit. Plans and implements reviews
and testing to determine if action plans have been carried out, and
whether they are effective.
- Participates in reviewing, investigating and responding to hot
line and disclosures, maintains logs and data bases, performing
investigations into concerns, issuing reports and overseeing
follow-up with departments to assure issues are
- Actively participates as assigned in Committees and activities
that implicate compliance and risk; represents the department in a
competent and professional manner at all times.
- Maintains assigned databases such as HIPAA or training.
Notifies covered persons timely with training requirements,
monitors compliance with training requirements. Monitors and
assures BAAs are obtained and data based-as assigned. Investigates
HIPAA matters and enters data into data base as assigned. Timely
and effectively Interacts and communicate with constituents as
required, including oral and written correspondence.
- May be assigned to coordinate and review and approve
remuneration requests, including data base maintenance; or be
assigned to manage education data bases to assure training
requirements have been met, or other duties and oversight as
- Performs training and education across the TCH system,
including new employee orientation.
- Maintains superior Excel data base skills to assure effective
data compilation and mining. Maintains competencies in compliance,
internal audit and ERM as needed to assure effective job
- Effectively manages priorities and work load. Is self-directed
and completes projects in an accurate and timely manner and
performs other duties as assigned. Seeks counsel and advice as
needed to carry out duties.Education: Bachelors degree in
accounting, IT, finance, business or health care related field is
required. Coding and/or internal audit certification (CIA) or
Certified Fraud Auditor is desired. CHC or other equivalent
certification required after one year on the job.License &
Certification: Internal Audit or Risk Management and Coding
Certification and/or HIPAA Certification highly desired. CHC
certification is required after one year.Experience: At least 5
years of internal audit experience and/or audit in healthcare is
required; healthcare management experience desired.Required Skills
& Knowledge: Superior, advanced knowledge of Microsoft Excel is
required at entry. Advanced knowledge of PowerPoint and Word are
required. Must be able to adeptly navigate through IT software
platforms used at the hospital and physician offices. Strong
organizational and communications skills, both oral and written.
Ability and willingness to confront issues and negotiate. Must have
the ability to work effectively independently, under pressure and
with strict deadlines. Knowledge of current compliance and risk
issues facing the hospital industry, including fraud and abuse
issues resulting from interactions with healthcare professionals
and reimbursement by government payment programs. Knowledge of
hospital and professional risk management, medical terminology,
billing and coding issues. The ability to exercise commensurate
independent judgment and discretion in areas of responsibility is
required along with the ability to accomplish multiple tasks
simultaneously. Strong analytical and problem solving skills
required to independently set objectives, testing standards and
determine findings.There are many ways to define excellence. For us
at The Christ Hospital, its all about our patients...And making
healthcare what they want it to be. Accessible. Personal.
Affordable.Our commitment to exceptional outcomes, affordable care
and the finest patient experiences is recognized yearly with
numerous awards from leading healthcare organizations and
publications. At the top of our list of honors are the 17
consecutive years that weve been named to U.S. News & World Reports
list of Best Hospitals and being named the Most Preferred Hospital
by the Greater Cincinnati community for 21 consecutive years
(National Research Corporation).What does this mean for you?GROWTH-
opportunities to learn, develop, and impact.VALUE - a robust
employee package that provides you the ability to maintain a
healthy work-life balance, competitive compensation, flexible and
meaningful benefits, development opportunities so you can be your
best self, and a culture of compassion.PRIDE- from all that we have
accomplished in our past, and all that were positioned for in the
future.CHALLENGE- we are in one of the most competitive markets in
the nation, yet continue to rise to the top through our incredible
employees and transformational results. We seek individuals
motivated by what it takes to be a part of a winning team.Named #24
on Forbes 500 Americas Best Employers for 2017, we are transforming
careinspired by you.
Keywords: The Christ Hospital Health Network, Cincinnati , Financial Compliance Auditor - Compliance, Accounting, Auditing , Cincinnati, Ohio
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