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Robert Half Compliance Auditor--Healthcare in Dallas, Texas

Description

Compliance Auditor needed for long-term audit engagement with our San Antonio healthcare client. Compliance Auditor will assist in the overall quality, compliance, and auditing activities to ensure compliance of standard operating procedures, corporate policies, industry standards, and applicable federal and state laws. Conducts audit activities and prepares reports summarizing audit results. Works in conjunction with Regional Director of Compliance and Privacy on compliance and privacy work plans, staff education, internal and external audits and reviews, and provides assurance that the organization is operating in an efficient and effective manner.

A. Performs compliance and privacy audit and monitoring activities and coordinates with the Regional team and the System Office as it relates to such audits.

B. Collaborates with Regional Director of Compliance and Privacy on external audits and reviews, which are initiated by government agencies or government-contracted organizations.

C. Coordinates medical record and claim reviews with the clinical and revenue cycle departments.

D. Performs monthly compliance and privacy audits according to the established work plan and calendar and prepares work plan summary slides with appropriate corrective action plans.

E. Modifies work plan calendar through the year to include additional audits, based on audit results, risks, and corrective action plans.

F. Serves as a member of the regional compliance committee and presents summary of compliance and privacy audit activities to the committee.

G. Provides subject matter expertise to the facility staff as directed by the Regional Director Compliance and Privacy.

POSITION SPECIFIC COMPETENCIES

A. Read, research, and understand the rules and regulations related to the audit, the scope of the audit, and the expected outcomes of the audit if all controls are in place and the audit goes as well as expected, prior to beginning the audit.

B. Complete work plan activities as directed by the Regional Compliance Director and Corporate Compliance Team and submit compliance and privacy work plan summary slides by the 5th working day of each month.

C. It is expected that Corrective Action Plans are implemented, tracked, and closed within 60 days.

D. Effectively communicate results of the work plan reviews to the Regional Compliance Director, the Corporate Compliance team, hospital departments, and the hospital compliance committee.

Requirements

POSITION QUALIFICATIONS

Education/Skills

• Bachelor degree is preferred, though extensive experience in healthcare revenue cycle, nursing, auditing, clinical operations, privacy or compliance will be considered

· Knowledge of and experience with Meditech, One Content, and EPIC preferred

· Strong Skills with Microsoft products (Excel, Word, and Power Point)

Experience

· Five (5) years’ experience or more in nursing, healthcare revenue cycle, privacy, or compliance

· Knowledge with healthcare compliance and integrity policies required

· Strong knowledge of DRG, CPT, CDM and billing and clinical operations required

· Overall knowledge of hospital department operations

Licenses, Registrations, or Certifications

· HCCA CHC and CHPC certifications preferred

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half puts you in the best position to succeed by advocating on your behalf and promoting you to employers. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity – even on the go. Download the Robert Half app and get 1-tap apply, instant notifications for AI-matched jobs, and more.

Questions? Call your local office at 1.888.490.3195. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals. Visit https://roberthalf.gobenefits.net/ for more information.

© 2021 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (www.roberthalf.com/terms-of-use).

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