MANAGER- INTERNAL AUDIT Remedi SeniorCare
THIS JOB HAS EXPIRED Position Summary. Reporting on a matrixed basis to the General Counsel and Chief Financial Officer, the Manager ? Internal Audit executes an annual audit program developed in conjunction with the CFO, Corporate Controller, General Counsel, Director of Compliance, SVP ITand SVP Operations regarding financial, operational and compliance risks, and conducts non-routine audits, as required.
Participates with operational and risk management executives in conducting enterprise risk assessment.
Assists in development of risk audit priorities.
Scope of auditing activities to include:
Operational and financial processes, systems and controls, including identification of deficiencies and remediation strategies;
Compliance with billing requirements of government healthcare reimbursement programs;
Review of credit/debit matching in ERP system including remediation strategies where appropriate
Implementation of compliance remediation plans and other compliance directives/policies;
Other auditing projects as assigned.
Other Responsibilities to include:
Supports company responses to third party payor audits;
Supports business partners in clarification and interpretation of billing guidelines and documentation;
Works collaboratively with billing team representatives to evaluate complex billing issues, and coordinates responses to third party payor billing audits/appeals.
Assists with inventory management/physical counts;
Partners with operational and risk management functions to develop viable recommendations to establish and enhance internal controls;
Other risk management support as required.
BS/BA in business, accounting or related field with 3-5years of experience in auditing, healthcare billing and compliance.
Healthcare provider experience, understanding of healthcare IT systems, CPA/CIA and/or advanced degree a plus.
Skills and/or Experience Required
Strong analytical, problem solving, project management and interpersonal skills.
Excellent written and oral communication skills.
Self Starter. Ability to perform diverse tasks under firm deadlines.
Thorough understanding of risks and controls in business processes, including information technology and demonstrated ability to conduct financial, operational and compliance audits.
Demonstrated ability to collect, analyze and draw conclusions from information and to differentiate between symptoms and root causes.
Strong systemsaudit experience;experience in healthcare ITsystems highly valued (e.g., Framework, ACCPAC)
Healthcare billing experience highly valued.
Proficiency in Microsoft Office programs including Word, Excel, and Access. Understanding of SQL is a plus.
||Baltimore, MD |
THIS JOB HAS EXPIRED