Director of Internal Audits

Together We Talent•Melville, NY

20h•Onsite

About The Position

A healthcare organization is seeking an experienced Director of Internal Audits to provide strategic oversight of the internal audit function and ensure strong governance, risk management, and internal control practices across the organization. This role is responsible for developing and executing a comprehensive, risk -based internal audit workplan, with a strong emphasis on regulatory compliance, billing integrity, and healthcare coding standards. This position requires a senior leader with deep healthcare audit experience, strong regulatory knowledge, and the ability to collaborate across clinical, compliance, and executive teams. The Director of Internal Audits leads the organization’s internal audit program, providing independent and objective assessments of operational, financial, and regulatory risks. This role owns the Internal Audit Work Plan, oversees audit execution and reporting, partners closely with Compliance and executive leadership, and ensures preparedness for external regulatory reviews.

Requirements

Bachelor’s degree in Business Administration, Healthcare Administration, or related field
Minimum 5–7 years of auditing experience, preferably in a healthcare environment
10+ years of supervisory or leadership experience
Strong knowledge of CPT codes, ICD -9/10 codes, and CMS guidelines
Understanding of federal and state healthcare compliance regulations
Experience auditing medical documentation, billing, and coding practices
Proven ability to lead and manage audit teams
Strong analytical, investigative, and problem -solving skills
Excellent written and verbal communication skills
Ability to manage multiple priorities in a fast -paced environment
High attention to detail with strict confidentiality standards
Proficiency with Microsoft Office and audit documentation tools
Strong project management and cross -functional collaboration skills

Responsibilities

Own and maintain the Internal Audit Work Plan, including audit scope, frequency, and sampling methodology
Ensure audits are performed and documented in accordance with internal standards and regulatory expectations
Design and execute annual and long -term audit plans aligned with organizational risk
Plan and oversee audits reviewed by regulatory bodies such as OIG and OMIG
Partner with Compliance Officers to support Compliance Work Plans and shared audit initiatives
Assess adherence to federal and state healthcare regulations, CMS guidelines, and billing requirements
Oversee audits of medical record documentation to identify undercoding and overcoding
Review audit findings and communicate results to physicians for education and compliance awareness
Research and respond to inquiries related to compliance, coding issues, denials, and billable services
Serve as the primary liaison between Internal Audit, executive leadership, and department heads
Prepare and present audit reports to Executive Management, Compliance, and Finance leadership
Lead, mentor, and develop internal audit staff; promote accountability and continuous improvement
Collaborate across departments including clinical operations, informatics, managed care, and billing
Conduct risk assessments and support corrective action planning
Promote ethical practices, transparency, and strong internal controls
Stay current on regulatory, coding, and compliance changes through ongoing education