Description
Internal Auditor
Description:
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Performs individual internal audit projects, as part of the total internal audit plan. Develops the internal audit scope, performing internal audit procedures and prepares internal audit reports.
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Covers functional and operating units with a focus on financial, information technology and operational processes.
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Applies knowledge of internal control concepts and experience to planning, performing, managing and reporting on the evaluation of various business processes, areas and functions.
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Performs follow-up on the status of outstanding internal audit issues.
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Assists in internal audit management and the development of the annual internal audit plan.
Top Daily Responsibilities:
Review/Audit denials (both Hospital Billing and Professional Billing) and perform root cause analysis to determine trends and areas of improvement.
Requirements:
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Highly detailed oriented, self-motivated and able to manage multiple priorities.
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CIA or CISA certification highly desirable.
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BA or BS required plus minimum of 3+ years of direct relevant experience.
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Ability to demonstrate knowledge of the local, state, and/or federal, Commercial laws and regulations; billing requirements, to include, but not limited to: ICD-9, CPT, and DRG codes, and fee schedule allowances and reductions; medical terminology and calculations necessary for account management.
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Ability to demonstrate knowledge of line of business specific billing and collection rules, regulations and other pertinent payer specific requirements.
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Good understanding of denial management
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Good understanding of both hospital billing as well as Professional billing
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Proficiency with MS Office suite
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EPIC knowledge is a big plus
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Six Sigma Green Belt certification desired