Internal Auditor
e+healthcare - Nashville, TN

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e+ CancerCare is the leading developer and operator of outpatient cancer
services. As one of the fastest-growing providers of comprehensive cancer care
in the nation, we are always looking for talented associates to join our team
and help us deliver the science of satisfaction.

We are currently seeking an experienced Internal Auditor to join our team in
Nashville, TN.

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

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