Auditing & Monitoring Program Supervisor

Medical Service Company•Cleveland, OH

13d•Hybrid

About The Position

The Auditing & Monitoring Program Supervisor, under the direction of the Sr. Director, Compliance, Risk & Regulatory, leads the internal auditing and monitoring program. This individual will strengthen compliance with internal testing of policy and procedure management.

Requirements

Bachelor’s degree in a related field
DME Industry experience, preferably in a regulatory capacity
Experience in internal audit and monitoring.
Analytical skills refer to your ability to break down a problem, gather facts, and find a logical solution.
Demonstrated ability to use Smartsheet, Microsoft Excel, Word and PowerPoint
Familiarity with Medicare, State Medicaid and commercial insurance billing and reimbursements as related to DME
Excellent verbal and written communication and customer relation skills.
Excellent interpersonal and organizational skills (a team player).

Responsibilities

Oversee internal auditing and monitoring to ensure compliance with company policies and procedures.
Supervise audit and monitoring staff
Develop and maintain a risk-based audit and monitoring plan, adjusting priorities based on regulatory requirements, internal risk assessments, and audit outcomes.
Oversee audit execution to ensure consistent methodologies, thorough documentation, and defensible results.
Align audit activities with CMS, ACHC, and state regulatory standards, supporting ongoing accreditation readiness
Partner with cross-functional leaders to drive process improvements and reduce compliance risk exposure (eg., Operations, Revenue Cycle, Credentialing, and IT)
Serves as a subject matter expert on audit findings and regulatory expectations
Maintaining version control of policies and procedures, including coordinating the production of documentation.
Conduct the necessary research to develop internal policies and procedures that will support the company and regulatory compliance.
Acts as internal administrator for associated software platform(s) used to manage policies and procedures.
Works closely with manager and Training department to properly roll-out new and updated policies and procedures.
Works closely with Supervisor, Compliance Regulatory on policies and procedures conducting the necessary research to develop internal policies and procedures that will support the company and regulatory compliance
Developing and maintaining excellent relationships with staff to ensure consistent application of regulations and policies, advising/briefing/training staff as necessary.
Other Projects as required.