Senior Healthcare Compliance Audit Specialist

About the role

Sonic Healthcare USA is seeking a Senior Compliance Audit Specialist to support and enhance our Compliance Program within the WSW Division. This role is ideal for a detail-oriented compliance professional with strong expertise in laboratory billing, regulatory oversight, and data analytics. You will play a critical role in identifying risk, strengthening internal controls, and ensuring adherence to federal and state healthcare regulations.

Responsibilities

• Conduct compliance audits and monitoring activities across clinical and billing operations
• Support the annual compliance risk assessment and work plan development
• Analyze data to identify trends, risks, and compliance gaps
• Audit revenue cycle functions (ABNs, charge master, denials, standing orders)
• Review Medicare guidelines including CCI edits, MUEs, LCDs/NCDs
• Develop and maintain auditing tools within XiFin and other systems
• Track and evaluate corrective actions and remediation effectiveness
• Perform on-site laboratory and phlebotomy compliance inspections
• Support investigations, hotline activities, and compliance reporting
• Deliver Compliance and HIPAA training across the organization
• Travel: ~25% (one week/month)

Position Qualifications

• Bachelor’s degree (Healthcare Compliance, Health Sciences, or related field preferred)
• 3+ years of healthcare compliance and/or medical billing experience
• Strong knowledge of laboratory billing and Medicare regulations
• Experience with XiFin or similar billing systems
• Advanced analytical and problem-solving skills
• Excellent communication and stakeholder engagement abilities

Bonus Points

• If you have CHC, CPC, or equivalent certification
• Laboratory operations experience

Benefits

• Free lab services for you and your dependents
• Work-life balance, including Paid Time Off and Paid Holidays
• Competitive benefits including medical, dental, and vision insurance
• Help saving for retirement, with a 401(k) plus a company match
• A sense of belonging – we’re a community!

What We Offer

• Routine access to Protected Health Information (PHI)
• Training on reasonable safeguards and strict confidentiality
• Expected to only access PHI when required to fulfill job duties