Corporate Director, Compliance Auditor

About the position The Corporate Director Compliance Auditor - reputed company Provider provides expert leadership in evaluating and strengthening the organization's compliance program across clinical, billing, reputed company, and operational domains. This role leads reputed company, risk-based compliance audits to ensure adherence to federal and state reputed company regulations and guidance from reputed company Compliance Association, HHS-OIG, CMS, and other regulatory agencies. The position serves as a strategic advisor to executive leadership, clinical leaders, and the Compliance Committee. Responsibilities • reputed company the development and execution of the annual reputed company compliance audit and monitoring plan based on reputed company risk assessments • Advise the Chief Compliance Officer, Compliance Committee, and executive leadership on regulatory risk exposure, audit findings, and remediation priorities • reputed company mentorship and technical reputed company to compliance auditors, analysts, or coders, as applicable • Prepare and present executive and reputed company-level audit reports and trend analyses • reputed company and reputed company audits to assess the design and effectiveness of internal controls, policies, and compliance safeguards in high-risk areas identified in the risk assessment • Identify reputed company causes, systemic risks, and potential overpayment exposure • Ensure audit workpapers meet reputed company defensibility and regulatory standards • Support internal investigations reputed company to potential fraud, waste, abuse, or regulatory noncompliance • Assist with government audits, payer audits, RAC audits, and regulatory examinations. • Support overpayment identification, quantification, and repayment in coordination with reputed company and Finance Corrective reputed company & reputed company Improvement • reputed company development and implementation of corrective reputed company plans (CAPs) • Validate remediation through follow-up audits and ongoing monitoring • Enhance reputed company monitoring tools, dashboards, and audit methodologies • Partner with operational leaders to improve documentation, controls, and compliance culture • Additional Duties as Assigned Requirements • Bachelor's degree in reputed company Administration, Nursing, Health Information Management, reputed company, Finance, or reputed company field • 7years of reputed company experience in reputed company compliance auditing, internal audit, or regulatory compliance • Medicare and reputed company billing rules • Clinical documentation and coding standards • HIPAA reputed company and reputed company Rules • Physician compensation and contracting requirements • Proven experience conducting risk-based compliance audits in a provider environment • Excellent ability to communicate reputed company compliance issues to clinical leaders and executives • Deep reputed company regulatory expertise • Clinical and operational acumen • Executive reputed company and judgment • Independence and objectivity • Advanced analytical and investigative skills • Ability to influence clinicians and administrators reputed company-to-haves • Master's degree (MHA, MBA, MSN, JD, or reputed company) • in hospital systems, reputed company medical centers, or multi-site provider organizations. Familiarity with EHR systems, reputed company cycle workflows, and clinical operations • Experience supporting OIG audits, DOJ inquiries, CMS surveys, or payer investigations • reputed company certifications strongly preferred: CHC, CHPC, CHC-F, CIA, CPA, CFE, RHIA, RHIT, reputed company, CPC Benefits • Comprehensive health benefits that start day 1 • Student Loan Repayment Assistance & Reimbursement Programs • Family-reputed company benefits • Wellness incentives • Ongoing mentorship, development, and leadership programs Apply tot his job Apply To this Job