The Hospital Audit Manager takes a lead role in conducting compliance, financial and operational audits of medical center operations and audits of physician billing and collections. The Manager works independently under the general direction of the departmental management team completing all work in compliance with professional auditing standards. The position acts as a key liaison with hospital managers, disseminating information and collaborating with management in strengthening controls and improving operations. The manager also would act on behalf of the Senior Associate Audit Director when they are absent from work and this could include directing and managing projects assigned to other auditors.
The Manager, with minimal supervisory direction, is responsible for performing and planning various and diverse financial, operational, investigations and advisory projects of the Medical Center. Duties include assessing compliance, financial, and operational risks for assigned review areas, designing and preparing audit programs to address areas of highest risk, conducting fieldwork, preparing work papers, drafting reports, working with management on developing corrective actions (MCAs), directing or assisting staff auditors in conducting hospital or physician billing audit services, and following up on management corrective actions.
The Manager is expected to have superior technical knowledge and proficiency, enabling the ability to independently conduct or supervise a small group of staff in completing audits of highly complex, technical or specialized subjects within the Medical Center and audits and special projects involving physician billing and collections. In performing or leading reviews, the Manager is expected to exercise due professional care, as set forth in the Departmental and UCOP Auditor guidelines. Additionally, the Manager will be expected to train and transfer knowledge to staff auditors and participate in system-wide workgroups with other subject matter experts.
While the Manager’s primary area of audit will be the UCSF Medical Center and School of Medicine’s Physician billing, projects in other parts of the campus will be assigned as needed.
• B.S. or B.A. degree from an accredited college/university.
• Demonstrated substantial, recent, and progressive experience leading and conducting internal audits in a healthcare organization such as a hospital, outpatient clinical facility, or physician practice
• Professional Auditing and Accounting Certification as CIA or CPA
• Ability to interact independently and effectively with all levels of management on a wide variety of topics, in a professional manner to explain observations, present recommendations, and obtain management commitment to corrective actions.
• Ability to effectively supervise others
• Knowledgeable of professional standards for the practice of internal auditing
• Excellent interpersonal skills
• Excellent written and oral communication skills
• Strong project management skills
• Strong analytical skills
• Demonstrated ability to solve problems by applying professional knowledge or expertise in hospital and healthcare management, accounting, and/or auditing
• Knowledgeable about hospital and physician billing
• Demonstrated experience in applying the theories and principles of auditing and accounting in a hospital and healthcare environment. Knowledge of General Accounting and Auditing Principles
• Demonstrated ability to project a courteous, helpful, empathetic, credible, and professional image to the campus community and fellow colleagues
• Demonstrated ability to identify risks associated with a specific deficiency and determine cost effective recommendations
• Ability to use judgment in evaluating the adequacy and effectiveness of financial and administrative controls, and the effectiveness and efficiency of operations
• Demonstrated ability to multitask and prioritize multiple projects and assignments to meet deadlines and project budgets
Note: Fingerprinting and background check required.
• Professional Auditing Certification as a CISA, CFE or Professional Healthcare Management Certifications: Certified Healthcare Financial Professional, Certified Revenue Cycle Representative, or Fellow of the Healthcare Financial Management Association
• Hospital and physical billing experience
• Master’s degree in Business, Accounting, Public Health or related discipline from an accredited college/university