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Financial Compliance Auditor - Compliance

Company: The Christ Hospital Health Network
Location: Cincinnati
Posted on: November 11, 2019

Job Description:

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 resolved/addressed.
  • 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 assigned.
  • 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 performance.
  • 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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