Audit Specialist

Responsibilities

• Plan, conduct, and oversee compliance audits in areas including finance, operations, and research.
• Analyze audit results to identify root causes and risks; draft concise reports outlining organizational exposure and actionable management plans with assigned responsibilities.
• Support drafting, refining, and maintaining compliance documentation aligned with federal and state healthcare regulations.
• Design and deliver compelling compliance training sessions to staff, clinical providers, and leadership; ensure staff understand reporting mechanisms and expectations.
• Conduct periodic risk assessments, monitoring, and auditing to proactively identify vulnerabilities.
• Lead investigations, corrective action plan development, and timely resolution of compliance incidents.
• Mentor guest auditors; manage projects and ensure quality assurance.
• Work cross-functionally with leadership and team members, including clinical departments, to integrate compliance into day-to-day operations.

Technical Expertise

• Expert knowledge of healthcare regulatory frameworks (e.g., HIPAA, Medicare/Medicaid, fraud & abuse statutes).
• Proficient in audit methodologies, controls evaluation, and corrective action implementation.
• Analytical mindset with strong report writing and presentation skills.
• Skilled in audit procedures, data analytics, and compliance training.
• Proficient in Epic, Excel, Word, and healthcare billing systems.
• Strong communication and organizational skills.

Requirements

• Education: Bachelor's degree required.
• Certification: CHC (Certified in Healthcare Compliance), CPA (Certified Public Accountant), CIA (Certified Internal Auditor), CFE (Certified Fraud Examiner) preferred.
• Years of relevant experience: Minimum 5 years in healthcare compliance, audit, or related roles required.

Qualifications

• Expert knowledge of healthcare regulatory frameworks (e.g., HIPAA, Medicare/Medicaid, fraud & abuse statutes).
• Proficient in audit methodologies, controls evaluation, and corrective action implementation.
• Analytical mindset with strong report writing and presentation skills.
• Skilled in audit procedures, data analytics, and compliance training.
• Proficient in Epic, Excel, Word, and healthcare billing systems.
• Strong communication and organizational skills.

Skills

• Expert knowledge of healthcare regulatory frameworks (e.g., HIPAA, Medicare/Medicaid, fraud & abuse statutes).
• Proficient in audit methodologies, controls evaluation, and corrective action implementation.
• Analytical mindset with strong report writing and presentation skills.
• Skilled in audit procedures, data analytics, and compliance training.
• Proficient in Epic, Excel, Word, and healthcare billing systems.
• Strong communication and organizational skills.

Pay

FTE: 1.000000

Schedule

DaysOnsite