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Director of Audit, Compliance & Coding

Company: Job Juncture
Location: Charlottesville
Posted on: September 12, 2019

Job Description:

GENERAL SUMMARY: The Director of Audit, Compliance & Coding is responsible for directing the corporate comprehensive program of internal auditing, compliance and medical coding. He/She directs and manages financial, operational, information systems and compliance audits for the purpose of ensuring that internal controls are adequate; corporate business is conducted in accordance with laws and regulations; assets are properly recorded and accounted for; policies and procedures are adhered to and that resources are being used in an efficient manner and physician or other billing activities are being conducted in accordance with third-party rules, regulations and within the constraints of corporate policies; and ensures that clinicians and billing staff are appropriately educated on documentation, coding and billing requirements. He/She will implement & direct a centralized coding department for the 21 clinical departments and the Clinical Practice Group.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Essential Functions of the Job:

-- Directs and guides activities of the internal audit, compliance audit, compliance coaches/educators and the coding team.

-- Advises and works with clinical departments, physicians, Medical Center management and all levels of corporate management on resolving internal control, compliance and other operational issues.

-- Ensures all provider services documented and provided are billed in a compliance manner.

-- Develops and facilitates Enterprise Risk Management Program.

-- Oversees the development of the Audit Risk Analysis and develops a strategic 3 year comprehensive audit program and the annual audit plan that is responsive to managements needs based on the risk assessment model for presentation to the CEO, Audit Committee, and Compliance Committee.

-- Oversees managements formal responses to audit findings and recommendations to ensure that the actions planned will address the deficiencies and advise management of those responses that do not adequately address the issues.

-- Conduct periodic training workshops to promote awareness of governance, risk management, and internal controls.

-- Oversees preparation and presentation of reports to the Audit Committee and/or the Compliance Committee, as applicable, and recommends solutions, guidance, and remedies.

-- Oversees activities around the annual independent audit and works closely with the independent audit firm to ensure a smooth, successful and timely audit.

-- Completes other projects and duties as assigned by the Chief Executive Officer and Chairs of the Audit Committee and the Compliance Committee.

REQUIRED QUALIFICATIONS (Knowledge, Skills & Abilities):

Education:

-- Bachelors degree in accounting or related field.

-- Masters in relevant field preferred

-- CPA, CIA preferred

-- Certification in Health Care Compliance a plus

-- Continuing training in the auditing field/standards and healthcare industry is necessary.

Experience:

-- Minimum of five (5) years of professional experience as an auditor including two (2) years in healthcare industry.

-- Experience managing and supervising staff.

-- Experience in compliance audit and physician billing and coding.

-- Information systems audit or other experiences a plus.

Knowledge and skills:

-- Knowledge of billing and other compliance requirements.

-- Excellent oral and written communication skills.

-- Intermediate to advanced word processing, spreadsheet, and database software knowledge and personal computer skills.

-- Experience using Microsoft Office tools.

-- Experience using computerized audit tools such as IDEA a plus.



SUPERVISORY RESPONSIBILITIES: This position will have exempt and non-exempt positions reporting to it.

Keywords: Job Juncture, Charlottesville , Director of Audit, Compliance & Coding, Executive , Charlottesville, Virginia

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