Internal Auditor
e+healthcare - Nashville, TN

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e+CancerCare is one of the leading operators of outpatient cancer care centers in the nation. Our core focus includes building a best-in-class network of comprehensive cancer care facilities through partner acquisition, service-line conversion, and de novo development. We operate multiple cancer care facilities across the country — offering a variety of cancer imaging, chemotherapy, radiation therapy services and support services, all under one roof. Job Purpose: The Internal Auditor position will be responsible for conducting the internal audit for our comprehensive centers with health care compliance standards (HCC). Role responsibilities include examinations, reviews and reporting that provide assurance in conjunction with management that the internal controls are appropriate, effective and efficient. Essential Functions: • Development and maintenance of procedural manuals for internal audits, including determination of the design and operating effectiveness of the key controls indentified. • Conduct interviews and performs research to gain an understanding of the comprehensive centers being audited. • Monitoring compliance with regulations and controls by examining and analyzing records, reports, operating practices and documentation. • Investigating Medicare claims data and/or medical records to identify billing or payment errors. • Analyzing and validating audit findings according to CMS regulations and processing guidelines. • Creating, developing, documenting, and deploying new payment error concepts. • Partnering with technology team to build automation tools to identify and address known errors in billing processes. • Identifying, documenting and analyzing internal audit findings and developing internal audit programs that address and test identified key risk areas. • Furnish senior leadership and management team with audit reports (written/verbal) that provide objective analysis, appraisals and recommendations to improve policies and procedures accordingly. • Guiding and educating centers on methods to decrease risk and increase compliance in organization-wide programs, policies and procedures. • Performs special projects and investigations, risk assessment, internal control consulting and process improvement. • Training centers on current and new policies and procedures. • Assist the independent external auditors by gathering information, answering questions, coordinating any further assistance needed and performing related projects. Qualifications and Education Requirements: • Bachelor’s Degree in Accounting or Finance required; MBA preferred. • 3-5 years internal audit experience in health care compliance and billing. • Proficient with all healthcare coding (CPT4, HCPCS, DRG, ICD-9, HIPPS, RUG, Modifiers, Revenue Codes, etc.). • Advanced knowledge and understanding of the application of accounting, financial and operating controls. • Must be able to travel at least 50% of the time. Preferred Skills: • CPA, CMA or CIA license preferred • Coding certification preferred (Certified Coding Specialist (CCS), Certified Professional Coder (CPC)) Required Competencies: Strong Business and Organizational Competence. Excellent Written and Communication skills. Strong functional Competence. Relationship Building skills. Competency. Initiative. High Ethical Standards. Adaptability. Accountability. Integrity. Self-Confidence. Time Management Skills with an emphasis on multi-tasking. Detail Oriented and Organized. We offer a competitive salary and benefits package that includes: Health, Dental, Vision, Ancillary and Life Insurances, Long Term Disability, 401(k), Vacation and Sick Time. All qualified candidates may apply via our Career Center; www.epluscancercare.com
e+healthcare - 22 months ago - save job - copy to clipboard
About this company
e-Healthcare Solutions, Inc. is a dynamic young company and offers an exciting work environment. We are an equal opportunity employer and we...